Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin,
WMJ. 2024 Sep;123(4):307-310.
In this report, we describe a case of a large, full-thickness traumatic cornea laceration that was managed nonsurgically.
A 22-year-old male presented with a red, painful right eye 4 days after a work-related injury. He was found to have a 6.5 mm full-thickness corneal laceration. The wound was Seidel negative, so the decision was made to manage the laceration nonsurgically. The patient did not develop endophthalmitis or wound complications, and his corrected visual acuity recovered to 20/25.
Full-thickness cornea lacerations and lacerations larger than 3 mm routinely necessitate surgical intervention in a sterile environment, while medical management is typically reserved for partial-thickness or small, self-sealing lacerations. Surgical repair of lacerations can lead to resultant astigmatic problems, even when performed in ideal conditions and, therefore, should be avoided when possible. Through careful examination and close follow-up, our patient with a large full-thickness laceration was successfully treated nonsurgically and able to avoid associated complications.
This report expands the literature of the appropriate management of cornea lacerations.
在本报告中，我们描述了一例大型全层外伤性角膜裂伤的非手术治疗病例。
一名 22 岁男性在工作相关伤后 4 天出现右眼红、痛。发现其有 6.5mm 的全层角膜裂伤。Seidel 试验阴性，因此决定非手术治疗裂伤。患者未发生眼内炎或伤口并发症，矫正视力恢复至 20/25。
全层角膜裂伤和大于 3mm 的裂伤通常需要在无菌环境下进行手术干预，而医疗管理通常保留用于部分厚度或小的、自封的裂伤。即使在理想条件下进行手术修复，也可能导致继发的散光问题，因此应尽可能避免。通过仔细检查和密切随访，我们成功地对这位患有大的全层裂伤的患者进行了非手术治疗，并避免了相关并发症。
本报告扩展了角膜裂伤适当治疗的文献。
