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轻伤6个月后上睑木质异物致角膜溃疡。

Corneal ulcer caused by a wooden foreign body in the upper eyelid 6 months after minor injury.

作者信息

Baumeister Martin, Kuhli-Hattenbach Claudia, Luchtenberg Marc

机构信息

Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany.

出版信息

Ophthalmologica. 2006;220(6):397-9. doi: 10.1159/000095868.

Abstract

PURPOSE

To describe a case of a wooden foreign body in the upper eyelid that remained asymptomatic for 6 months.

CASE REPORT

A 9-year-old boy was presented with moderate upper lid swelling. Medical history was positive for trauma with a wooden stick 6 months ago. At first, the condition resolved under local antibiotic treatment. Three weeks later, the inflammation recurred and a corneal ulcer developed. Examination under general anesthesia revealed a wooden foreign body which had remained in the upper eyelid since the first injury.

CONCLUSION

Organic foreign bodies in the eyelid can remain asymptomatic for a long period of time and can play a role in periocular inflammation. In case of doubt, children and other less cooperative patients should be examined under general anesthesia.

摘要

目的

描述1例上睑木质异物存留6个月而无症状的病例。

病例报告

一名9岁男孩,上睑中度肿胀。病史显示6个月前曾被木棍击伤。起初,在局部抗生素治疗下病情缓解。3周后,炎症复发并出现角膜溃疡。全身麻醉下检查发现自首次受伤后一直存留于上睑的木质异物。

结论

眼睑内的有机异物可长期无症状,并可在眼周炎症中起作用。如有疑问,应对儿童及其他配合度较低的患者在全身麻醉下进行检查。

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