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一例罕见的因刀导致的高冲击力眼球穿通伤。

An unusual case of a high-impact perforating ocular injury by knife.

作者信息

Roberts Philipp K, Macek Marc A, Rickmann Annekatrin, Wakili Philip, Lorenz Anna Theresa, Seitz Berthold, Szurman Peter, Boden Karl T

机构信息

Department of Ophthalmology, Knappschaftsklinikum Saar, Sulzbach, Germany.

Department of Ophthalmology, Saarland University Medical Center, Homburg, Germany.

出版信息

Am J Ophthalmol Case Rep. 2024 Oct 1;36:102185. doi: 10.1016/j.ajoc.2024.102185. eCollection 2024 Dec.

DOI:10.1016/j.ajoc.2024.102185
PMID:39429623
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11488439/
Abstract

PURPOSE

To present a case of high-impact perforating eye injury by knife throwing witnessed during a public performance and initially classified as penetrating eye injury.

OBSERVATIONS

During the second reconstructive procedure an exit wound was identified, which had been missed during primary wound repair due to extensive swelling of adjacent soft tissue. The occult exit wound could be sealed and the retina attached under silicone oil.

CONCLUSIONS AND IMPORTANCE

An exit wound should always be considered in any case of penetrating ocular injury. Uniform terminology in ocular traumatic injuries is important for planning and execution of proper wound management.

摘要

目的

介绍一例在公开表演中目睹的因飞刀造成的高冲击力眼球穿通伤病例，该病例最初被归类为眼球贯通伤。

观察结果

在第二次重建手术中发现了一个出口伤口，由于相邻软组织广泛肿胀，在初次伤口修复时遗漏了该伤口。隐匿的出口伤口得以封闭，视网膜在硅油下复位。

结论与重要性

在任何眼球贯通伤病例中都应始终考虑存在出口伤口。眼外伤的统一术语对于正确伤口处理的规划和实施很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/3f8ea329ccac/mmcfigs2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/a6e18d02faf4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/22b174c99de5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/8271c58e5ed0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/0834d93751a9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/ec278bf4fc35/mmcfigs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/3f8ea329ccac/mmcfigs2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/a6e18d02faf4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/22b174c99de5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/8271c58e5ed0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/0834d93751a9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/ec278bf4fc35/mmcfigs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ea/11488439/3f8ea329ccac/mmcfigs2.jpg

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本文引用的文献

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Biomed Eng Online. 2023 May 25;22(1):53. doi: 10.1186/s12938-023-01117-8.
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Computed tomography in traumatic orbital emergencies: a pictorial essay-imaging findings, tips, and report flowchart.创伤性眼眶急症的计算机断层扫描：图文并茂的文章——影像学表现、技巧及报告流程图
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Open globe injuries: Epidemiology, visual and surgical predictive variables, prognostic models, and economic cost analysis.
开放性眼球损伤：流行病学、视觉和手术预测变量、预后模型以及经济成本分析。
Clin Exp Ophthalmol. 2021 May;49(4):336-346. doi: 10.1111/ceo.13944. Epub 2021 May 26.
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Epidemiology and Clinical Patterns of Ocular Trauma at a Level 1 Trauma Center in Korea.韩国一级创伤中心眼部创伤的流行病学和临床特征。
J Korean Med Sci. 2021 Jan 4;36(1):e5. doi: 10.3346/jkms.2021.36.e5.
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Incidence and seasonality of major ocular trauma: a nationwide population-based study.主要眼外伤的发生率和季节性：一项全国性基于人群的研究。
Sci Rep. 2020 Jun 22;10(1):10020. doi: 10.1038/s41598-020-67315-9.
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The Vitrectomy Timing Individualization System for Ocular Trauma (VTISOT).眼外伤玻璃体切割术个体化时机选择系统（VTISOT）。
Sci Rep. 2019 Aug 30;9(1):12612. doi: 10.1038/s41598-019-48862-2.
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Ocular Injury in United States Emergency Departments: Seasonality and Annual Trends Estimated from a Nationally Representative Dataset.美国急诊部门的眼部损伤：基于全国代表性数据集的季节性和年度趋势估计
Am J Ophthalmol. 2018 Jul;191:149-155. doi: 10.1016/j.ajo.2018.04.020. Epub 2018 May 9.
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Forensic Sci Med Pathol. 2018 Mar;14(1):31-41. doi: 10.1007/s12024-017-9937-7. Epub 2017 Dec 2.
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Acta Ophthalmol. 2018 May;96(3):e361-e365. doi: 10.1111/aos.13531. Epub 2017 Aug 3.
10
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