Preisová J, Riebel O, Vlková E, Prokes B, Hnilicka B
Augenklinik der Medizinischen Fakultät Brno.
Klin Monbl Augenheilkd. 1988 Jan;192(1):30-2.
The authors describe an accident leading to penetration of the eye of an 11-year-old boy by an unusual foreign body, and the subsequent diagnosis and treatment. Persistent ocular irritation following a corneal perforation wound, in spite of appropriate treatment, led to the presence of an intraocular foreign body being suspected. The results of radiologic examination, including CT (Siemens Somatom 2), were negative. Only A-scan sonography (Kretztechnik 7002) called attention to the possibility of a foreign body in the vitreous behind the traumatic cataract. Extracapsular extraction was immediately followed by careful removal of very small foreign-body particles from the vitreous. Once the corneal sutures had been removed the irritation decreased. The scanning electron microscope (Cambridge) images of the largest particle showed the foreign bodies to be fragments of a moth (order Noctuideae).
作者描述了一起导致一名11岁男孩眼睛被异物穿透的事故，以及后续的诊断和治疗过程。尽管进行了适当治疗，但角膜穿孔伤后持续的眼部刺激导致怀疑眼内有异物。包括CT（西门子Somatom 2）在内的放射学检查结果为阴性。只有A超（Kretztechnik 7002）提示外伤性白内障后方玻璃体中有异物的可能性。行囊外摘除术后，立即小心地从玻璃体中取出非常小的异物颗粒。角膜缝线拆除后，刺激症状减轻。最大颗粒的扫描电子显微镜（剑桥）图像显示异物为蛾类（夜蛾科）的碎片。
