Kehat Rinat, Bonsall Dean J
Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA.
J AAPOS. 2009 Dec;13(6):621-2. doi: 10.1016/j.jaapos.2009.10.005.
Corneal metallic foreign body is a common condition in working-age adults due to occupational exposure, such as grinding, welding, and hammering. Ocular trauma is a leading cause of vision loss in children; however, corneal metallic foreign bodies are rare in the pediatric population. Here we describe 2 children suffering from autism spectrum disorders presenting with recurrent corneal metallic foreign bodies. Meticulous history revealed that both children extensively used a therapeutic home swing with metallic suspensions, suggesting the potential mechanism for the recurrent corneal metallic foreign bodies. Furthermore, the use of protective eyewear during swinging prevented further recurrences. Awareness of this potential danger is particularly important in children with disabilities, who may have difficulty communicating their concerns and cooperating during examination and treatment.
角膜金属异物在工作年龄的成年人中是一种常见病症，这是由于职业暴露，如研磨、焊接和锤击等。眼外伤是儿童视力丧失的主要原因；然而，角膜金属异物在儿科人群中很少见。在此，我们描述了2名患有自闭症谱系障碍且反复出现角膜金属异物的儿童。详细的病史显示，这两名儿童都大量使用了带有金属悬架的家用治疗秋千，这提示了反复出现角膜金属异物的潜在机制。此外，在荡秋千时使用防护眼镜可防止异物再次出现。对于残疾儿童而言，意识到这种潜在危险尤为重要，因为他们在检查和治疗过程中可能难以表达自己的担忧并配合治疗。
