自發性水晶體異位－四病例報告

Spontaneous Dislocated Lens-Four Cases Report

許翠君(Tsuei-Chun Hsu) ； 蔡武甫(Wu-Fu Tsai)

《中華民國眼科醫學會會刊》 30卷2期 (1991/12) Pp. 195-198

https://doi.org/10.30048/ACTASOS.199112.0076

摘要

異位性水晶體發生的原因，主要分為三種，即(1)遺傳性(2)外傷性(3)自發性，本篇報告提出四位自發性水晶體異位的病例，即無遺傳及外傷之因素而水晶體無明顯原因而呈異位者，此四位病例為一位男性，三位女性，年齡從五十六歲至七十一歲，皆為單側患眼，有兩位為水晶體部分異位，另兩位的水晶體為完全異位，完全異位的水晶體皆落在玻璃體底部之正下方，在追蹤期間並無明顯之玻璃體變化，但其中有兩例併發視網膜剝離，且網膜復位手術結果不佳。

並列摘要

Four cases of spontaneous dislocation of the lens were reported. The possibility of congenital or traumatic factor had been carefully excluded out. They were one male and three female. The average age was 55 years old. All cases were unilateral with visual acuity of counting finger only. Two cases were subluxation and the other two were luxation with lens dislocating into the vitreous cavity. The latter showed no any clinical change of vitreous during the follow-up period.
Unfortunately, two cases were complicated with retinal detachment. The result of scleral buckling seemed to be unsatisfactory. The lens became cataractous and disturbed vision in one case, which was corrected with lens removal.
In conclusion, spontaneous dislocation of the lens may occasionally be seem. The dislocation is usually posterior. Retinal detachment is the most common complication, however, the surgical result is poor. There seems to be needless to remove the dislocated lens, unless it becomes cataractous and disturbs the vision.

並列關鍵字

Spontaneous dislocated lens ； luxation ； subluxation