水晶体脱臼を伴った広汎な顔面裂創・頬骨骨折の1例  [in Japanese] Severe facial laceration and zygomatic fracture accompanied by traumatic lens luxation: a case report  [in Japanese]

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Author(s)

    • 熊丸 渉 KUMAMARU Wataru
    • 九州大学大学院歯学研究院口腔顎顔面病態学講座口腔顎顔面外科学分野 Section of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
    • 碇 竜也 IKARI Tatsuya
    • 九州大学大学院歯学研究院口腔顎顔面病態学講座口腔顎顔面外科学分野 Section of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
    • 関 勝弘 SEKI Katsuhiro
    • 九州大学大学院歯学研究院口腔顎顔面病態学講座口腔顎顔面外科学分野 Section of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University

Abstract

Lens luxation occurs when the lens is displaced from its normal position mostly due to blunt trauma. Precise diagnosis at the initial stage is needed because a luxated lens can cause visual disorders.<br>We present a case report of complete lens luxation following facial trauma. A 68-year-old woman suffered severe lacerations to the face, and fracture of the zygoma and femur in a traffic accident and was transferred to our Emergency Unit. CT scan and ultrasonography revealed displacement of the left lens to the ocular fundus. She was immediately referred for ophthalmologic consultation and was diagnosed as complete lens luxation. The luxated lens showed no urgent symptoms and was treated conservatively, although the fractures were surgically reduced. Visual acuity was restored to 0.6 by wearing a contact lens later.<br>Maxillofacial injuries, especially midface fractures, are frequently complicated by ocular injuries which can cause serious visual dysfunction. All traumas to the face, particularly fractures of the middle third of the facial skeleton, require ophthalmologic consultation and careful ocular examination.

Journal

  • Journal of The Japanese Stomatological Society

    Journal of The Japanese Stomatological Society 59(4), 168-171, 2010

    Japanese Stomatological Society

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