儿童隐匿性外伤性白内障1例合并文献复习

A Case of Occult Traumatic Cataract in a Child Combined with Literature Review

摘要: 目的：探讨儿童隐匿性外伤性白内障(指外伤史不明显、早期症状不典型且容易被忽视的外伤性白内障)的临床特点、诊断及治疗策略。方法：报告1例9岁男童因“右眼视力下降1月”就诊，经检查确诊为“外伤性白内障右眼”，行“右眼白内障摘除 + 人工晶体(IOL)植入术”，术后随访6个月，并结合文献复习分析其诊疗要点。结果：术后患儿右眼视力由手动/5 cm提升至0.8，未发生严重并发症。结论：对不明原因视力下降的儿童，需警惕隐匿性外伤性白内障，本病例的成功治疗凸显了对不明原因视力下降儿童进行早期、彻底检查和干预的临床重要性，是预防严重弱视的有效途径。

Abstract: Objective: To investigate the clinical features, diagnosis, and treatment strategies of occult traumatic cataract in children (referring to traumatic cataracts with an inconspicuous trauma history, atypical early symptoms, and a tendency to be overlooked). Methods: A case of a 9-year-old boy who presented with “decreased vision in the right eye for one month” was reported. After examination, he was diagnosed with “traumatic cataract in the right eye” and underwent “cataract extraction with intraocular lens (IOL) implantation in the right eye.” The patient was followed up for 6 months postoperatively, and key diagnostic and treatment points were analyzed alongside a literature review. Results: Postoperatively, the visual acuity of the right eye improved from hand motion at 5 cm to 0.8, with no serious complications. Conclusion: For children with unexplained vision loss, occult traumatic cataract should be considered. The successful treatment of this case highlights the clinical importance of early and thorough examination and intervention in children with unexplained vision loss, serving as an effective approach to preventing severe amblyopia.