Cornea Service, Cornea Centre, Chandigarh, India.
Cornea Service, Bangalore West Lions Super Speciality Eye Hospital, No 5, Lions Eye Hospital Road, Bangalore, Karnataka, India.
Indian J Ophthalmol. 2021 Apr;69(4):971-973. doi: 10.4103/ijo.IJO_2397_20.
A 28-year-old male presented with three full-thickness stromal wooden foreign bodies vertically oriented in the left cornea. An innovative intracameral approach was used. Paracentesis was done and healon was injected into the anterior chamber. Iris repositor was introduced into the anterior chamber and the area of foreign bodies was pushed up to compress the stroma. The wooden foreign body projected above the corneal surface and were picked up one by one using McPherson forceps. One of the foreign bodies has penetrated through the Descemet's membrane resulting a corneal perforation. A corneal perforation was confirmed by observing egress of the irrigating solution, injected into the anterior chamber through the paracentesis opening. The corneal perforation was sealed with corneal glue. He achieved 6/9 BCVA (OS) at 8 weeks and maintained it during18 months follow-up.
一位 28 岁男性，左眼角膜内有 3 个垂直排列的全层木质异物。采用了一种创新的前房内入路方法。行房水穿刺，并向眼前房注入海奥隆。将虹膜复位器引入前房，将异物区域向上推以压缩基质。木质异物突出于角膜表面，使用麦氏镊逐一取出。其中一个异物已穿透角膜后弹力层，导致角膜穿孔。通过观察从前房穿刺口注入的冲洗液的逸出，可确认角膜穿孔。用角膜胶封闭角膜穿孔。他在 8 周时达到了 6/9 的 BCVA（OS），并在 18 个月的随访中保持了这一视力。
