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.
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.
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。
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