- 期刊
- OpenAccess
Anterior Capsular Phimosis after Successful Surgery for a Patient with Traumatic Cataract: Case Report
成功外傷性白內障手術術後併發水晶體前囊纖維化
摘要
水晶體囊的混濁，常是接受白內障手術病患術後視力惡化的常見原因。水晶體前囊混濁的併發症在發生時間上不僅比後囊早，且可能造成嚴重纖維化使植入的人工水晶體發生脫位情形。吾人報告一位66歲男性因為外傷性白內障及部分水晶體韌帶損傷後接受一成功白內障手術。但於術後六個月病發嚴重前囊纖維化及人工水晶體脫位。我們為此病患進行人工水晶體再植入術並針對混濁水晶體前囊進行相關病理分析。此病例提醒臨床醫師對於外傷性白內障的病患即使進行完美而成功的白內障手術，因為水晶體韌帶的受損，術後前囊纖維化的併發症仍無法有效避免其發生。因此術後病患須接受定期追蹤，並及早治療，故有其臨床價值。
關鍵字
無資料並列摘要
A patient received successful cataract surgery with a silicone intraocular lens (IOL) implantation for treating traumatic cataract and partial zonular damage, but severe anterior capsule phimosis developed six months later. To restore vision, the encapsulated IOL was removed and a second implantation was performed using sulcus fixation. Gross examination of the encapsulated IOL disclosed severe anterior capsule contraction and multiple linear fibrous bands radiating from the central opening of the capsulorrhexis. Histology showed some reserved lens epithelial cells beneath the basement membrane and multilayered spindle-shaped fibroblast-like cells within the myxoid and hyaline matrix. Thus, even performing a perfect capsulorrhexis and maintaining an intact IOL capsule bag could not avoid anterior capsule opacification.
延伸閱讀
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