Mishra Kapil, Roybal C Nathaniel, Mahajan Vinit B
Molecular Surgery Laboratory, Byers Eye Institute, Stanford University, Palo Alto, CA, USA.
Eye Associates of New Mexico, Albuquerque, NM, USA.
J Vitreoretin Dis. 2023 Sep 30;7(6):540-544. doi: 10.1177/24741264231202073. eCollection 2023 Nov-Dec.
To report an approach to explosive injuries with simultaneous, co-surgeon bilateral ruptured globe repair and pars plana vitrectomy for bilateral intraocular foreign bodies (IOFBs). A case and its findings were analyzed. A 31-year-old man had bilateral vision loss after an air compressor malfunction that caused a high-pressure explosion to his face. An examination showed bilateral open-globe injuries and IOFBs, necessitating urgent repair. Given the risk for endophthalmitis and the need for expeditious repair, open-globe repair surgery was performed in both eyes simultaneously by co-surgeons followed by pars plana lensectomy, vitrectomy with IOFB removal, and silicone oil placement. The final visual acuity after bilateral scleral-fixated intraocular lens implantation was 20/20 OD and 20/25 OS. This case of bilateral open-globe injuries and IOFBs required expeditious repair with bilateral, simultaneous surgery that ultimately resulted in excellent visual outcomes. Simultaneous surgery may be an option for bilateral ocular trauma.
报告一种针对爆炸伤的治疗方法，该方法包括同时由两位外科医生进行双侧眼球破裂修复及经平坦部玻璃体切除术以处理双侧眼内异物（IOFBs）。分析了一个病例及其检查结果。一名31岁男性在空气压缩机故障导致面部发生高压爆炸后出现双侧视力丧失。检查显示双侧开放性眼球损伤及眼内异物，需要紧急修复。鉴于存在眼内炎风险且需要迅速修复，两位外科医生同时对双眼进行了开放性眼球修复手术，随后进行了经平坦部晶状体切除术、玻璃体切除术并取出眼内异物，以及硅油植入。双侧巩膜固定人工晶状体植入术后的最终视力为右眼20/20，左眼20/25。该例双侧开放性眼球损伤及眼内异物需要通过双侧同时手术进行迅速修复，最终取得了良好的视力结果。同时手术可能是双侧眼外伤的一种选择。
