Croonen D, Renardel de Lavalette V W, Koopmans S A
Universitair Medisch Centrum Groningen, afd. Oogheelkunde, Hanzeplein 1, 9713 GZ Groningen.
Ned Tijdschr Geneeskd. 2006 Jul 29;150(30):1649-52.
A 50-year-old man visited his family physician one day after he had felt something entering his left eye following the blow of a metal hammer on metal, after which he began to see black spots. After the eye had been occluded for 4 days, his visual acuity had decreased to 0.1. Ophthalmologic examination revealed a defect in the cornea and iris, a foreign body in the vitreous and local cataract. Following surgical removal of the metal splinter and the lens, the visual acuity was restored to 0.8. Implantation of an artificial lens was planned. Ocular trauma is a major cause of permanent visual loss or blindness in (young) adults in the western world. Traumas in which a foreign body is propelled into the eye with high energy are most likely to penetrate the sclera. Damage and complications due to intraocular foreign bodies may lead to loss ofvision. The entry site of an intraocular foreign body may be difficult to find and the diagnosis may be missed. Therefore, an ophthalmologist should be consulted in case of a high-energy trauma in combination with visual loss.
一名50岁男性在金属锤子敲击金属后感觉有东西进入左眼，随后开始出现黑点，一天后他去看了家庭医生。眼睛被遮盖4天后，他的视力降至0.1。眼科检查发现角膜和虹膜有缺损、玻璃体有异物以及局部白内障。在手术取出金属碎片和晶状体后，视力恢复到了0.8。计划植入人工晶状体。眼外伤是西方世界（年轻）成年人永久性视力丧失或失明的主要原因。异物以高能量射入眼睛的外伤最有可能穿透巩膜。眼内异物造成的损伤和并发症可能导致视力丧失。眼内异物的进入部位可能难以找到，诊断可能会被漏诊。因此，在发生高能量外伤并伴有视力丧失的情况下，应咨询眼科医生。
