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内镜辅助取出表现为持续性局限性角膜水肿的房角异物。

Endoscopy-assisted removal of angle foreign body presenting as persistent localised corneal oedema.

作者信息

Nukala Naveen, Pappuru Rajeev Reddy, Dave Vivek Pravin

机构信息

Smt Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India.

Smt Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India

出版信息

BMJ Case Rep. 2020 Apr 16;13(4):e233419. doi: 10.1136/bcr-2019-233419.

Abstract

A 20-year-old man presented to us with injury to the left eye by a glass bulb 3 weeks ago. The acute injury resolved with a peculiar residual localised corneal oedema in the inferior one-third of the cornea . This localised oedema in absence of any evidence of a localised visible injury to the cornea indicated towards a possible retained foreign body. The foreign body visibility was equivocal on gonioscopy. Subsequently via a limbal incision, an endoscope was introduced into the anterior chamber. The endoscopic view revealed the glass foreign body lodged into the inferior angle of the eye which was removed with the help of an intraocular forceps. Over the next week, the corneal oedema resolved completely.

摘要

一名20岁男性3周前因玻璃灯泡致左眼受伤前来就诊。急性损伤消退后,角膜下三分之一处出现特殊的局限性角膜水肿。在角膜没有任何局部可见损伤迹象的情况下出现这种局限性水肿提示可能有异物残留。前房角镜检查时异物 visibility不明确。随后通过角膜缘切口将内窥镜插入前房。内窥镜检查发现玻璃异物嵌顿在眼的下角,借助眼内镊将其取出。在接下来的一周里,角膜水肿完全消退。

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