Punnonen E
Department of Ophthalmology, Helsinki University Central Hospital, Finland.
Acta Ophthalmol (Copenh). 1990 Jun;68(3):265-9. doi: 10.1111/j.1755-3768.1990.tb01920.x.
Forty-eight eyes enucleated after a perforating eye injury (PEI) in 1980-86 (15% of all PEIs) were examined. The time between injury and enucleation varied from 0 to 1145 days. The lens had been damaged or lost in all eyes and 94% had an uveal tract injury. In 83% the retina was detached, in 15% it was totally prolapsed in injury. The inflammatory signs were most marked in eyes with a corneoscleral or double perforation. Proliferation of the retinal pigment epithelial cells or fibrous proliferation from the wound or ciliary body was found 9-10 days after trauma and epiretinal membranes from the optic nerve head or from the surface of the retina after 1 month. Massive fibrous proliferation was seen in 94% of eyes enucleated 1 month or later after injury. One case of post-traumatic purulent endophthalmitis was detected, but signs of sympathetic ophthalmia were not observed.
对1980年至1986年间因眼球穿孔伤（PEI）而摘除的48只眼（占所有PEI的15%）进行了检查。受伤至摘除眼球的时间为0至1145天。所有眼睛的晶状体均已受损或缺失，94%的眼睛存在葡萄膜损伤。83%的眼睛视网膜脱离，15%的眼睛视网膜在受伤时完全脱垂。炎症体征在角膜巩膜穿孔或双穿孔的眼睛中最为明显。外伤后9至10天可发现视网膜色素上皮细胞增殖或伤口或睫状体的纤维组织增生，1个月后可发现视神经乳头或视网膜表面的视网膜前膜。在受伤1个月或更长时间后摘除眼球的眼睛中，94%可见大量纤维组织增生。检测到1例创伤后化脓性眼内炎，但未观察到交感性眼炎的体征。
