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眼部电损伤

Electrical injury of the eye.

作者信息

Al Rabiah S M, Archer D B, Millar R, Collins A D, Shepherd W F

机构信息

Department of Ophthalmology, Queen's University of Belfast, UK.

出版信息

Int Ophthalmol. 1987 Oct;11(1):31-40. doi: 10.1007/BF02027895.

DOI:10.1007/BF02027895
PMID:3692693
Abstract

A 17-year-old male suffered superficial and deep facial burns after coming into contact with a high tension electrical cable with his head and right side of the face. The right eye sustained severe thermal coagulative injuries and subsequently was enucleated. Histopathological examination showed that the retinal neuropile was relatively intact although the retinal and choroidal circulations were severely compromised. The left eye was less affected but a dense cataract developed and required lensectomy. Visual acuity remained poor in the left eye due to retinal atrophy, retinal vascular attenuation and optic nerve degeneration. Electroretinographic tests and pseudo-random binary stimulus visually evoked responses were useful in predicting the visual outcome.

摘要

一名17岁男性头部和面部右侧接触高压电缆后,面部遭受了浅度和深度烧伤。右眼遭受严重热凝性损伤,随后被摘除。组织病理学检查显示,尽管视网膜和脉络膜循环严重受损,但视网膜神经纤维层相对完整。左眼受影响较小,但出现了致密性白内障,需要进行晶状体切除术。由于视网膜萎缩、视网膜血管变细和视神经变性,左眼视力仍然很差。视网膜电图检查和伪随机二进制刺激视觉诱发电位有助于预测视力预后。

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引用本文的文献

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Ophthalmological manifestations, visual outcomes, and treatment of electrical and lightning trauma: A Systematic Review.眼外伤的眼科表现、视觉预后及治疗:一项系统评价。
Graefes Arch Clin Exp Ophthalmol. 2025 Jun 27. doi: 10.1007/s00417-025-06844-3.
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Electric Shock Retinopathy: Case Report of a Late Retinal Manifestation.电击性视网膜病变:一例晚期视网膜表现的病例报告
J Vitreoretin Dis. 2020 Feb 7;4(2):139-143. doi: 10.1177/2474126420903277. eCollection 2020 Mar-Apr.
3
Simultaneous Cataract, Maculopathy and Optic Atrophy Secondary to High-Voltage Electrical Shock Injury.

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