Modi Yasha, John Vishak, Warman Roberto, Hess Ditte, Murray Timothy G, Berrocal Audina M
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
J AAPOS. 2013 Oct;17(5):545-7. doi: 10.1016/j.jaapos.2013.05.016.
A 3-year-old boy presented with severe eye pain and nausea after colliding with a date palm tree branch. Examination under anesthesia revealed a self-sealed corneal laceration and traumatic cataract in his left eye. Cultures were taken and the patient received prophylactic subconjunctival, intravitreal, and systemic antibiotics because of the high risk of endophthalmitis. A thorn from the same tree grew Bacillus cereus. Examination after 2 weeks of the injury revealed a subretinal foreign body (a palm tree thorn), although there were no signs of endophthalmitis or retinal detachment. The patient underwent cataract extraction and laser demarcation of the subretinal foreign body, which was not removed. He was fitted for an aphakic contact lens. With alternate patching, his best-corrected visual acuity improved to 20/30.
一名3岁男孩在与枣椰树树枝碰撞后出现严重眼痛和恶心。麻醉下检查发现其左眼有一处自行封闭的角膜裂伤和外伤性白内障。进行了培养，由于眼内炎风险高，患者接受了预防性结膜下、玻璃体内及全身抗生素治疗。同一棵树上的一根刺培养出蜡样芽孢杆菌。受伤2周后的检查发现有一个视网膜下异物（一根枣椰树刺），尽管没有眼内炎或视网膜脱离的迹象。患者接受了白内障摘除术和视网膜下异物的激光划界，但异物未取出。为他佩戴了无晶状体隐形眼镜。通过交替遮盖，他的最佳矫正视力提高到了20/30。
