Irving Enrique Carral-Santander, Dhariana Acón-Ramírez, Vidal Soberón-Ventura, Carlos Felipe Peñaranda-Henao, Lorena Wheelock-Gutiérrez, Gerardo García-Aguirre
Retina Department, Asociación para Evitar la Ceguera en México, Hospital "Dr. Luis Sánchez Bulnes" IAP. Mexico City, Mexico.
Ophthalmology, Asociación para Evitar la Ceguera en México, Hospital "Dr. Luis Sánchez Bulnes" IAP. Mexico City, Mexico.
Am J Ophthalmol Case Rep. 2018 Jun 20;11:115-118. doi: 10.1016/j.ajoc.2018.06.010. eCollection 2018 Sep.
To report the conservative management of a penetrating ocular trauma caused by a nail gun with a six-month follow up.
A 21 year-old healthy female suffered an ocular penetrating trauma with a nail gun. She presented with a metallic foreign body that partially entered her left eye through the nasal sclera via pars plana, 3 mm posterior to the limbus, but did not reach the retina. Surgical removal of the foreign body and closure of the scleral wound, without vitrectomy, was performed 16 h after the injury. Intravitreal prophylactic antibiotic was administered. Retinal atrophy developed in the areas that had at presentation, but no further complications were observed.
and Importance: Pars plana vitrectomy may not be necessary in all penetrating ocular traumas with intraocular foreign body, as long as the foreign body is accessible from the exterior of the eye and there are no other conditions (such as vitreous hemorrhage, retinal detachment, endophthalmitis, etc) that are an indication for vitrectomy.
报告一例由射钉枪导致的穿透性眼外伤的保守治疗及六个月随访情况。
一名21岁健康女性因射钉枪导致眼穿透伤。她出现一个金属异物，该异物经睫状体扁平部通过鼻侧巩膜部分进入左眼，位于角膜缘后3毫米处，但未到达视网膜。受伤后16小时进行了异物手术取出及巩膜伤口闭合，未行玻璃体切除术。给予玻璃体腔预防性抗生素。伤后出现视网膜萎缩区域，但未观察到进一步并发症。
对于所有伴有眼内异物的穿透性眼外伤，只要异物可从眼外取出且不存在其他需要进行玻璃体切除术的情况（如玻璃体积血、视网膜脱离、眼内炎等），可能无需进行睫状体扁平部玻璃体切除术。
