Simpson Sarah M, Yau Gary, Nischal Kanwal K, Strube Yi Ning J
Department of Ophthalmology, Queen's University, Kingston, Ontario, Canada.
Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J AAPOS. 2017 Oct;21(5):425-426. doi: 10.1016/j.jaapos.2017.06.015. Epub 2017 Sep 1.
Birth-associated ocular trauma is common and often minor, including subconjunctival and retinal haemorrhage and eyelid edema. Significant ocular trauma during birth, usually associated with forceps-assisted delivery, is rarer and can include Descemet's membrane rupture, lid lacerations, hyphema, Purtcher retinopathy, facial nerve palsy, corneal edema, and corneal laceration. We report the first case of ocular birth trauma from forceps presenting as isolated iris heterochromia and a pseudo rubeosis iridis, which completely resolved by 1 month of age with no known adverse ocular sequelae.
出生相关的眼外伤很常见且通常较轻，包括结膜下和视网膜出血以及眼睑水肿。出生时严重的眼外伤较为罕见，通常与产钳助产有关，可包括后弹力层破裂、眼睑裂伤、前房积血、Purtscher视网膜病变、面神经麻痹、角膜水肿和角膜裂伤。我们报告了首例因产钳导致的眼外伤病例，表现为孤立性虹膜异色症和假性虹膜红变，患儿1月龄时完全消退，无已知的不良眼部后遗症。
