Chee Ru-Ik, Eliott Dean, Chau Felix Y
Ophthalmic Surg Lasers Imaging Retina. 2018 Nov 1;49(11):904-906. doi: 10.3928/23258160-20181101-14.
Ru-ik Chee Felix Y. Chau In this case of a perforating eye injury by a 2-inch-long nail that went through the cornea, lens, and posterior eye wall, the authors describe a combined external, anterior, and posterior segment surgical approach that resulted in safe and successful removal of the foreign body. Initial external trimming of the protruding nail facilitated the use of a noncontact viewing system. Combined limbal and pars plana placement of the vitrectomy cannulas optimized access to both anterior and posterior intraocular structures. Most importantly, careful removal of potential sources of foreign body adhesion to intraocular structures prior to extraction likely increased the likelihood for a successful clinical outcome. Care was taken to remove as much of the vitreous as possible and to keep the eye formed. The patient recovered 20/25+2 vision with aphakic correction.
Ru - ik Chee Felix Y. Chau 在该例由一根2英寸长的钉子造成的穿透性眼外伤中，钉子穿过了角膜、晶状体和眼球后壁，作者描述了一种联合外部、前部和后部节段的手术方法，该方法成功且安全地取出了异物。最初对突出钉子进行外部修剪便于使用非接触式观察系统。玻璃体切割套管在角膜缘和平行于睫状体扁平部联合放置，优化了对眼内前部和后部结构的进入。最重要的是，在取出异物之前仔细清除眼内结构上可能存在的异物附着源，这可能增加了临床成功的可能性。术中小心尽可能多地清除玻璃体并保持眼球形态。患者经无晶状体矫正后视力恢复到20/25 +2。
