She Poh Fong, Tai Evelyn, Zamli Akmal Haliza, Abdul Rashid Rohana, Mohd Khialdin Safinaz
Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Ophthalmology, Hospital Tengku Ampuan Afzan, Kuantan, MYS.
Cureus. 2021 Oct 9;13(10):e18633. doi: 10.7759/cureus.18633. eCollection 2021 Oct.
A healthy 25-year-old gentleman sustained a left eye perforating injury involving a metallic intraocular foreign body. Upon examination, his best-corrected visual acuity was 6/6 in the right eye and 1/60 in the left eye. There was a full thickness cornea-scleral laceration wound with uveal tissue prolapse at 7 o'clock. The pupil was peaked inferonasally. The anterior chamber was deep with cells grade 4+ and a hyphema level. The posterior segment could not be visualized due to a vitreous haemorrhage. The computed tomography scan revealed a high-density foreign body embedded in the posterior wall of the globe. He underwent primary toilet and suturing of the left eye cornea-scleral laceration, followed by pars plana vitrectomy with an endolaser and gas tamponade. However, the foreign body could not be identified intraoperatively. Post-operation, the left eye vision improved, achieving his premorbid best-corrected visual acuity of 6/6 by six months post-op. The intraocular foreign body was managed conservatively in view of the excellent visual acuity and the risk of further surgery. The patient has remained asymptomatic since then until his last follow-up at 30 months post-operation.
一名25岁健康男性左眼遭受穿孔伤，伴有金属性眼内异物。检查发现，其右眼最佳矫正视力为6/6，左眼为1/60。角膜巩膜全层裂伤伤口位于7点方位，伴有葡萄膜组织脱垂。瞳孔向鼻下移位呈尖形。前房深，有4+级细胞反应及前房积血平面。由于玻璃体积血，无法看清眼后段。计算机断层扫描显示一个高密度异物嵌顿于眼球后壁。他接受了左眼角膜巩膜裂伤的一期清创缝合，随后行玻璃体切割术、眼内激光治疗及气体填充。然而，术中未能找到异物。术后，左眼视力改善，术后6个月恢复至伤前最佳矫正视力6/6。鉴于视力恢复良好及进一步手术的风险，眼内异物采取保守治疗。此后患者一直无症状，直至术后30个月的最后一次随访。
