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穿透性眼外伤所致37岁患者的惰性角膜基质内石墨异物:一例报告

Inert 37-Year-Old Intrastromal Corneal Graphite From Penetrating Ocular Trauma: A Case Report.

作者信息

Nasser Orwa, Patil Minal

机构信息

Ophthalmology, Orasis Eyecare Center, Ma'alot-Tarshiha, ISR.

Ophthalmology, Hadassah Academic College, Jerusalem, ISR.

出版信息

Cureus. 2023 Dec 6;15(12):e50030. doi: 10.7759/cureus.50030. eCollection 2023 Dec.

DOI:10.7759/cureus.50030
PMID:38186541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10767763/
Abstract

Ocular trauma is the most frequent cause of monocular blindness. Ocular surface injury is the commonest among ocular injuries. Corneal abrasion and foreign body are the most common corneal injuries. A 40-year-old dentist with a history of partially penetrating corneal injury due to a pencil presented with and retained graphite bodies in the cornea 37 years after injury. His refraction was +1.0 sphere with no astigmatic error. There was no evidence of any inflammatory reaction. Intrastromal corneal graphite particles can be inert and cause no inflammatory reaction or astigmatic error even decades after injury.

摘要

眼外伤是单眼失明最常见的原因。眼表损伤是眼外伤中最常见的类型。角膜擦伤和异物是最常见的角膜损伤。一名40岁的牙医,有因铅笔导致部分穿透性角膜损伤的病史,受伤37年后角膜内仍留存石墨颗粒。他的验光结果为球镜+1.0,无散光。没有任何炎症反应的迹象。角膜基质内的石墨颗粒可能呈惰性,即使在受伤数十年后也不会引起炎症反应或散光。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519a/10767763/4125016b53a9/cureus-0015-00000050030-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519a/10767763/4125016b53a9/cureus-0015-00000050030-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519a/10767763/4125016b53a9/cureus-0015-00000050030-i01.jpg

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本文引用的文献

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Ocular injuries: emergency department strategies.眼部损伤:急诊科策略。
Emerg Med Pract. 2023 Oct 1;25(Suppl 10):1-38.
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AES-CSFS: an automatic evaluation system for corneal sodium fluorescein staining based on deep learning.AES-CSFS:一种基于深度学习的角膜荧光素钠染色自动评估系统。
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Treatment of Non-Infectious Corneal Injury: Review of Diagnostic Agents, Therapeutic Medications, and Future Targets.非感染性角膜损伤的治疗:诊断试剂、治疗药物及未来靶点的综述。
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Retained anterior chamber graphite foreign body with delayed inflammation.前房内残留石墨异物伴迟发性炎症。
Am J Ophthalmol Case Rep. 2021 Aug 4;23:101181. doi: 10.1016/j.ajoc.2021.101181. eCollection 2021 Sep.
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Intraorbital Graphite Foreign Body With a Delayed Presentation of Optic Neuropathy.眶内石墨异物伴迟发性视神经病变。
Ophthalmic Plast Reconstr Surg. 2020 Jul/Aug;36(4):e86-e87. doi: 10.1097/IOP.0000000000001593.
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