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穿透性角膜伤口伴外伤性白内障及眼内异物——病例报告

Penetrating corneal wound with traumatic cataract and intraocular foreign body-case report.

作者信息

Căciulă Dorin, Gavriș Monica, Tămășoi Irina

机构信息

"Dr. Constantin Papilian" Military Emergency Hospital, Cluj-Napoca, Cluj, Romania.

Dej City Hospital, Dej, Romania.

出版信息

Rom J Ophthalmol. 2017 Jan-Mar;61(1):54-59. doi: 10.22336/rjo.2017.10.

DOI:10.22336/rjo.2017.10
PMID:29450372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5710054/
Abstract

Open globe injuries complicated with the presence of an intraocular foreign body mostly affect young males and represent a vision threatening condition. We presented the case of a 48-year-old male who presented to our emergency service due to ocular pain and blurred vision in his right eye. A metallic foreign body situated between 1 and 12 o'clock, near the corneoscleral limbus, that perforated the cornea, the iris, the anterior capsule of the lens and the lens, was detected at the slit-lamp examination. We decided to immediately remove the foreign body that was approximately 20 mm long. The following day, traumatic cataract had already developed, so we performed cataract extraction. Despite the dimensions of the intraocular foreign body, the retina was attached and there were no sign of retinal tears or vitreous haemorrhage. The proper management in this case led to good results in spite of the dimensions of the intraocular foreign body. IOFB = Intraocular Foreign Body, IOL = Intraocular Lens, PVR = Proliferative Vitreo-Retinopathy.

摘要

开放性眼球损伤合并眼内异物主要影响年轻男性,是一种威胁视力的疾病。我们报告了一例48岁男性病例,该患者因右眼眼痛和视力模糊前来我们的急诊服务部门就诊。在裂隙灯检查中发现一个金属异物位于角膜缘1点至12点之间,穿透了角膜、虹膜、晶状体前囊和晶状体。我们决定立即取出这个长约20毫米的异物。第二天,外伤性白内障已经形成,所以我们进行了白内障摘除术。尽管眼内异物尺寸较大,但视网膜仍附着,没有视网膜裂孔或玻璃体出血的迹象。尽管眼内异物尺寸较大,但该病例的正确处理仍取得了良好的效果。IOFB = 眼内异物,IOL = 人工晶状体,PVR = 增殖性玻璃体视网膜病变

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/51766a1d5dc4/RomJOphthalmol-61-54-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/c7f0490c752c/RomJOphthalmol-61-54-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/534b27530316/RomJOphthalmol-61-54-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/fb18ff9893a0/RomJOphthalmol-61-54-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/51766a1d5dc4/RomJOphthalmol-61-54-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/c7f0490c752c/RomJOphthalmol-61-54-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/534b27530316/RomJOphthalmol-61-54-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/fb18ff9893a0/RomJOphthalmol-61-54-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662d/5710054/51766a1d5dc4/RomJOphthalmol-61-54-g005.jpg

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Eye (Lond). 2015 Dec;29(12):1579-84. doi: 10.1038/eye.2015.173. Epub 2015 Sep 18.
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Surgical treatment of open globe trauma complicated with the presence of an intraocular foreign body.开放性眼球外伤合并眼内异物的手术治疗。
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Intraocular metallic foreign body: role of computed tomography.眼内金属异物:计算机断层扫描的作用
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