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“榴莲”果实坠落导致的开放性眼球损伤

Open Globe Injury Secondary to "Durian" Fruit Fall.

作者信息

Ibramsah Ainul Basirah, Masnon Nurul Ain, Ibrahim Mohtar, Wan Hitam Wan-Hazabbah

机构信息

Department of Ophthalmology and Visual Sciences, Universiti Sains Malaysia School of Medical Sciences, Kota Bharu, MYS.

出版信息

Cureus. 2021 Nov 29;13(11):e19978. doi: 10.7759/cureus.19978. eCollection 2021 Nov.

DOI:10.7759/cureus.19978
PMID:34984136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8714046/
Abstract

A devastating ocular injury can be caused by durian, the "king of fruits." We report a case of open globe injury secondary to a durian fruit fall. A 54-year-old unfortunate male was accidentally hit by a durian fruit that fell from a tree. The fruit hit directly his right face and eye. He experienced a transient loss of consciousness. He sustained extensive corneal and multiple scleral lacerations with total hyphema, iridodialysis, posterior dislocation of the lens, and retinal detachment. There were also multiple sites of a puncture wound on the right side of the face and right upper lid laceration. Primary suturing of corneal and scleral laceration with anterior chamber washout was performed. The right visual acuity remained poor postoperatively. Durian fruit injury to the eye may lead to severe devastating ocular complications that lead to blindness. The prognosis depends on the severity of the injury.

摘要

“水果之王”榴莲可导致严重的眼外伤。我们报告一例因榴莲掉落导致的开放性眼球损伤病例。一名54岁的男性不幸被从树上掉落的榴莲砸中。榴莲直接击中他的右脸和眼睛。他经历了短暂的意识丧失。他出现了广泛的角膜和多处巩膜裂伤,伴有全前房积血、虹膜根部离断、晶状体后脱位和视网膜脱离。右侧面部还有多处穿刺伤以及右上睑裂伤。对角膜和巩膜裂伤进行了一期缝合并冲洗前房。术后右眼视力仍很差。榴莲致眼损伤可能导致严重的破坏性眼部并发症,进而导致失明。预后取决于损伤的严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/a8109b1676f2/cureus-0013-00000019978-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/ac29138e7415/cureus-0013-00000019978-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/f9f368acdb31/cureus-0013-00000019978-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/f4384a34f055/cureus-0013-00000019978-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/a8109b1676f2/cureus-0013-00000019978-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/ac29138e7415/cureus-0013-00000019978-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/f9f368acdb31/cureus-0013-00000019978-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/f4384a34f055/cureus-0013-00000019978-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea07/8714046/a8109b1676f2/cureus-0013-00000019978-i04.jpg

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Open Globe Injury: Ultrasound First!开放性眼球损伤:首选超声检查!
AJNR Am J Neuroradiol. 2017 Nov;38(11):E99-E100. doi: 10.3174/ajnr.A5282. Epub 2017 Aug 17.
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Randomised controlled trial of prophylactic antibiotic treatment for the prevention of endophthalmitis after open globe injury at Groote Schuur Hospital.在格罗特舒尔医院进行的预防性抗生素治疗预防开放性眼球损伤后眼内炎的随机对照试验。
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Int J Ophthalmol. 2014 Jun 18;7(3):486-90. doi: 10.3980/j.issn.2222-3959.2014.03.18. eCollection 2014.
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Prickly pear spine keratoconjunctivitis.仙人掌刺角膜结膜炎
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7
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Med J Malaysia. 2009 Sep;64(3):244-5.