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结膜下异物伴巩膜穿透可疑

Subconjunctival foreign body with suspected scleral penetration.

作者信息

Suman Suwarna, Kumar Arushi, Rathod Hemant U

机构信息

Department of Ophthalmology, All India Institute of Medical Sciences Jodhpur, India.

Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Trauma Case Rep. 2022 Jan 25;38:100613. doi: 10.1016/j.tcr.2022.100613. eCollection 2022 Apr.

Abstract

Ocular foreign bodies may be threat to vision loss. Superficial foreign body present on the conjunctiva or cornea can be easily detected and removed, and may not cause much harm if treated appropriately without delay. Subconjunctival foreign bodies are relatively rare, commonly missed and present as foreign body granuloma, even if they are visible their extent in deeper tissue is difficult to assess. Foreign bodies penetrating the ocular coat can result in partial or full thickness penetration of cornea and sclera with or without involvement of posterior segment. Here we present a case of subconjunctival metallic foreign body embedded in deeper sclera in a 22-year male working in factory. Foreign body was removed carefully under local anaesthesia avoiding further damage to the eye.

摘要

眼内异物可能会威胁到视力丧失。存在于结膜或角膜上的浅表异物很容易被检测到并取出,如果及时得到适当治疗,可能不会造成太大伤害。结膜下异物相对少见,常被漏诊,并表现为异物肉芽肿,即使它们可见,其在深层组织中的范围也难以评估。穿透眼球壁的异物可导致角膜和巩膜部分或全层穿透,伴或不伴有眼后段受累。在此,我们报告一例22岁男性工厂工人结膜下金属异物嵌入深层巩膜的病例。在局部麻醉下小心取出异物,避免对眼睛造成进一步损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6340/8819376/9ddb85ef9a57/gr1.jpg

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