Kuniyal Lakshmi, Rishi Ekta, Rishi Pukhraj
Department of Vitreo-Retina, Sankara Nethralaya, Chennai, Tamil Nadu, India.
Oman J Ophthalmol. 2014 Jan;7(1):40-2. doi: 10.4103/0974-620X.127931.
Open globe injuries with intraocular foreign bodies are important cause of visual morbidity. Timely detection of foreign body is must to improve the visual outcome and to prevent eye from developing complications. It is important to understand the need of meticulous history taking and thorough examination besides other investigations to detect foreign body. Glass foreign bodies are little difficult to visualize because of its transparent nature. The best time to detect foreign body is at the time of primary repair. Until one suspects the presence of foreign body, it is missed most of the time. We chose to report this case as it is unusual to miss big IOFB in anterior chamber impacted in lens matter at the time of primary corneal repair. It is important to remember that an ounce of vigilant vision is worth a pound of care.
开放性眼球损伤合并眼内异物是导致视力损害的重要原因。及时发现异物对于改善视力预后和预防眼部并发症至关重要。除了其他检查外,了解详细病史和进行全面检查对于发现异物也很重要。玻璃异物因其透明的性质而难以看清。发现异物的最佳时机是在一期修复时。在怀疑有异物存在之前,大多数时候都会错过。我们选择报告这个病例,因为在一期角膜修复时,前房内嵌入晶状体物质中的大的眼内异物被漏诊是不常见的。重要的是要记住,一分警惕的视力胜过十分的护理。