眼球破裂による裂孔原性網膜剥離の2症例

Two cases of retinal detachment with giant retinal tear following eyeball rupture

（展示210）　鈍的外傷による眼球破裂後に巨大裂孔と網膜剥離が2症例にあった。1例は50歳女性で網膜全剥離があり，受傷後34日後の硝子体手術で網膜が復位し，最終視力0.2を得た。他の1例は45歳男性で270度にわたり赤道で眼球が破裂し，下方の網膜は上方破裂部に癒着していた。硝子体手術で網膜はいったん復位したが，術後3か月目にシリコーンオイルを除去したのち眼球癆になった。

We observed two cases of blunt ocular trauma resulting in eyeball rupture, giant retinal tear and retinal detachment. One case was a 50-year-old female with total retinal detachment. Vitrectomy was performed 34 days after injury. The retina became reattached and the visual acuity recovered to 0.2. Another case was a 45-year-old male. The eyeball had ruptured over 270 degrees over the equator. The retina in the inferior hemisphere had adhered to the superior wound. Vitreous surgery resulted in temporary reattachment. The eye became phthisic following removal of intravitreal silicone oil.