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内镜辅助取出嵌顿于睫状沟的眼内异物。

Endoscopic-assisted removal of intraocular foreign body embedded in ciliary sulcus.

作者信息

Peters Katherine S, Meeker Austin, Williams Lloyd

机构信息

Department of Ophthalmology, Duke University Medical Center, 2351 Erwin Road, Durham, NC, 27710, USA.

出版信息

Am J Ophthalmol Case Rep. 2022 Jul 14;27:101665. doi: 10.1016/j.ajoc.2022.101665. eCollection 2022 Sep.

Abstract

PURPOSE

To report a novel approach for removal of intraocular foreign body in the ciliary sulcus.

OBSERVATIONS

A 72-year-old male presented with an intraocular foreign body embedded in the ciliary body, localized with ultrasound biomicroscopy. An intraoperative endoscopic camera was then used to directly visualize the foreign body in the ciliary body and the object was successfully removed with intraocular forceps.

CONCLUSIONS AND IMPORTANCE

Removal of foreign bodies in the ciliary sulcus often require either a transscleral approach or a pars plana approach with vitrectomy. In this case, direct visualization with endoscopy allowed for a much safer and less invasive technique for intraocular foreign body removal, preventing the need for sclerotomy or vitrectomy.

摘要

目的

报告一种用于摘除睫状沟内眼内异物的新方法。

观察结果

一名72岁男性患者,眼内异物嵌入睫状体,通过超声生物显微镜定位。术中使用内镜摄像头直接观察睫状体内的异物,并用眼内镊成功取出。

结论及意义

摘除睫状沟内的异物通常需要经巩膜入路或联合玻璃体切割的睫状体平坦部入路。在此病例中,内镜直接观察为眼内异物摘除提供了一种更安全、侵入性更小的技术,避免了巩膜切开术或玻璃体切割术的需要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9209/9294040/5bc22b043612/gr1.jpg

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