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结石撞击后晶状体内眼内异物:CT与超声表现

Intralenticular intraocular foreign body after stone impact: CT and US findings.

作者信息

Arnáiz Javier, Marco de Lucas Enrique, Piedra Tatiana, Torres Marta, Blanco Gerardo, González-Mandly Andrés, Lastra Pedro

机构信息

Department of Radiology, Hospital Universitario Marqués de Valdecilla, Avenida de Valdecilla s.n., Santander 39008, Spain.

出版信息

Emerg Radiol. 2006 Jul;12(5):237-9. doi: 10.1007/s10140-006-0477-9. Epub 2006 Apr 28.

Abstract

INTRODUCTION

Intraocular foreign body (IOFB) is a relatively common entity in emergency departments worldwide. Appropriate ocular assessment is mandatory if an intraocular foreign body is suspected because it is associated with an increased risk of endophtalmitis and a wide range of complications including hyphaema, cataract, vitreous hemorrhage, and retinal tears and detachment.

CASE REPORT

We present a case of intralenticular intraocular foreign body after stone impact.

DISCUSSION

Ultrasonography (US) and computed tomography (CT) show an accurate location of the foreign body inside the lens. This finding enabled the surgeon to perform a phacoemulsification lens extraction with removal of the foreign body, the optimal method of removing intralenticular IOFB. To our knowledge, this is the first US and CT imaging report.

摘要

引言

眼内异物(IOFB)在全球急诊科室中是一种相对常见的情况。如果怀疑有眼内异物,必须进行适当的眼部评估,因为它会增加眼内炎的风险以及引发包括前房积血、白内障、玻璃体出血、视网膜裂孔和脱离等一系列并发症。

病例报告

我们呈现一例因石块撞击导致晶状体内部眼内异物的病例。

讨论

超声检查(US)和计算机断层扫描(CT)显示异物在晶状体内部的准确位置。这一发现使外科医生能够进行超声乳化晶状体摘除术并取出异物,这是取出晶状体内部眼内异物的最佳方法。据我们所知,这是第一份超声检查和CT成像报告。

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