Suzuki Yukihiko, Suzuki Kaori, Tanabu Reiko, Maeda Natsuki, Nakazawa Mitsuru
Department of Ophthalmology, Hirosaki University Graduate School of Medicine, 5 Zaifu, Hirosaki, Aomori, Japan.
Am J Ophthalmol Case Rep. 2020 Feb 29;18:100643. doi: 10.1016/j.ajoc.2020.100643. eCollection 2020 Jun.
To describe an intraoperative choroidal detachment due to balanced salt solution (BSS) leakage through the exit wound in a case with perforating ocular injury.
The patient was a 22-year-old man who suffered from a left eye injury caused by a piece of wire during work. Vitrectomy was started after closure of the scleral wound, but surgical procedure could not be continued, as BSS leakage occurred into the subretinal and supra-choroidal spaces, resulting in a narrowed vitreous cavity, as we were slow to recognize the presence of the perforating ocular injury in this patient. Fluid-air exchange and air-silicone oil exchange in the vitreous cavity were performed to finish the initial surgery. Three weeks later, the reoperation was performed to remove silicone oil and insert an intraocular lens into the bag. Presently, 1 year 5 months following the second surgery, corrected visual acuity is 20/50.
Our findings indicate that BSS can leak through the exit wound into the subretinal and supra-choroidal spaces intraoperatively in a case of perforating ocular injury.
描述一例眼球穿孔伤患者术中因平衡盐溶液（BSS）通过伤口出口渗漏导致脉络膜脱离的情况。
患者为一名22岁男性，工作时左眼被铁丝刺伤。巩膜伤口闭合后开始行玻璃体切除术，但由于我们未能及时识别该患者存在眼球穿孔伤，导致BSS渗漏至视网膜下和脉络膜上腔，致使玻璃体腔变窄，手术无法继续进行。术中进行了玻璃体腔内的液气交换和气硅油交换以完成初次手术。三周后，再次手术取出硅油并将人工晶状体植入囊袋内。目前，第二次手术后1年5个月，矫正视力为20/50。
我们的研究结果表明，在眼球穿孔伤病例中，术中BSS可通过伤口出口渗漏至视网膜下和脉络膜上腔。
