Ashkenazi I, Avni I, Blumenthal M, Treister G
Harefuah. 1989 Dec 1;117(11):363-5.
The management of posterior penetrating ocular trauma includes thorough preoperative evaluation and exploration and careful debridement with excision or repositioning of the uvea. Vitreous incarceration should be avoided and the sclera and cornea should be reapproximated. Preventive antibiotic and steroid therapy are indicated. Vitreoretinal evaluation includes CT scan, ultrasonography and electroretinography. Vitrectomy should be performed within 5-10 days after injury when there is retinal detachment, an opaque vitreous, extensive vitreous hemorrhage, double perforating injuries, or a reactive foreign body. When there is endophthalmitis or chalcosis, vitrectomy should be performed earlier. A 22-year-old man with severe penetrating trauma of the eye is presented.
眼球后部穿通伤的处理包括全面的术前评估与探查，以及仔细的清创，对葡萄膜进行切除或复位。应避免玻璃体嵌顿，需使巩膜和角膜重新对合。需进行预防性抗生素和类固醇治疗。玻璃体视网膜评估包括CT扫描、超声检查和视网膜电图检查。当出现视网膜脱离、玻璃体混浊、广泛的玻璃体积血、双穿孔伤或反应性异物时，应在伤后5至10天内进行玻璃体切除术。当发生眼内炎或铜质沉着症时，应更早进行玻璃体切除术。现报告一名22岁严重眼球穿通伤男性患者。
