Li X Q, Liang G, Huang Y F
Ophthalmology Division of Chinese PLA General Hospital, Beijing 100039, China.
Department of Ophthalmology, The PLA Rocket Force Characteristic Medical Center, Beijing 100032, China.
Zhonghua Yan Ke Za Zhi. 2022 Sep 11;58(9):715-716. doi: 10.3760/cma.j.cn112142-20210923-00446.
A patient complained of vision loss of his left eye which was crushed by iron ore for 11 months. The cornea of the injured eye was thin and swollen, and a large amount of rust-like material was observed to be deposited. An intraocular foreign body was found by orbital CT. During vitrectomy, a piece of metal sheet was found near the ora serrate, and the intraocular structure was severely damaged, and characterized by vitreous brown turbidity, a white optic disc, occlusion of blood vessels in the fundus, and peripheral retinal atrophy with degeneration. The patient was diagnosed as ocular siderosis in the left eye.
一名患者因左眼被铁矿石砸伤11个月后出现视力丧失前来就诊。伤眼角膜变薄且肿胀,可见大量锈样物质沉积。眼眶CT检查发现眼内异物。在玻璃体切除术中,在锯齿缘附近发现一块金属片,眼内结构严重受损,表现为玻璃体棕褐色混浊、视盘白色、眼底血管闭塞以及周边视网膜萎缩伴变性。该患者被诊断为左眼眼铁质沉着症。