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高压电击伤继发的同时性白内障、黄斑病变和视神经萎缩

Simultaneous Cataract, Maculopathy and Optic Atrophy Secondary to High-Voltage Electrical Shock Injury.

作者信息

Korkmaz Anil, Karti Omer, Zengin Mehmet Ozgur, Sagban Latif Levent, Kusbeci Tuncay

机构信息

Department of Ophthalmology, Bozyaka Training and Research Hospital, İzmir, Turkey.

出版信息

Neuroophthalmology. 2018 Nov 2;44(1):34-37. doi: 10.1080/01658107.2018.1540644. eCollection 2020 Feb.

Abstract

A 32-year-old man presented to our clinic with complaint of vision loss in both eyes (oculus utro; OU). Past medical history revealed that he had been exposed to high-voltage electrical current that passed through the temporal region of the head 2 months ago. Slit-lamp examination demonstrated cortico-nuclear cataract and mature cataract in his right eye (oculus dexter; OD) and left eye (oculus sinister; OS), respectively. On fundus examination, a macular hole was observed in OD. Optic atrophy and foveal atrophy were observed in the left fundus examination after cataract surgery. Simultaneous cataract, maculopathy and optic atrophy may occur after high-voltage electrical current injury. Therefore, clinicians should perform detailed anterior and posterior segment examinations in such patients.

摘要

一名32岁男性因双眼视力丧失前来我院就诊。既往病史显示,他在2个月前头部颞部遭受了高压电流电击。裂隙灯检查显示,其右眼(OD)为皮质核性白内障,左眼(OS)为成熟性白内障。眼底检查发现右眼有黄斑裂孔。白内障手术后,左眼眼底检查发现视神经萎缩和黄斑萎缩。高压电流损伤后可能同时出现白内障、黄斑病变和视神经萎缩。因此,临床医生应对此类患者进行详细的眼前节和眼后节检查。

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本文引用的文献

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