第三世界国家眼科医院眼内异物的临床发现与处理
Clinical findings and management of intraocular foreign bodies (IOFB) in third-world country eye hospital.
作者信息
Widyanatha Made Indra, Sungkono Henry Santosa, Ihsan Grimaldi, Virgana Rova, Iskandar Erwin, Kartasasmita Arief Sjamsulaksan
机构信息
Vitroretinal Department National Eye Center Cicendo Eye Hospital, Bandung, Indonesia.
Department of Opthalmology, Universitas Padjadjaran, Bandung, Indonesia.
出版信息
BMC Ophthalmol. 2025 Mar 18;25(1):142. doi: 10.1186/s12886-025-03903-5.
PURPOSE
To describe the demoFigurey and clinical characteristics of intraocular foreign body as open globe injury type at National Eye Center Cicendo Eye Hospital.
METHODS
This descriptive-retrospective study is based on medical records of patients admitted to National Eye Center Cicendo Eye Hospital diagnosed with intraocular foreign bodies from January 2019 to June 2023.
RESULTS
A total of twenty-one cases of ocular trauma specifically intraocular foreign bodies were recorded based on medical records. A total of 20 cases (95.2%) were male. The incidence of 15 cases (71.4%) of trauma in outdoor activities with the whole mechanism (100%) of penetrations. Most cases were referred cases (57.1%). 11 cases had surgery under 24 h prior to trauma (52.4%). The entry site of the foreign body was on the cornea (17 cases, 81%). Metallic foreign bodies account for 16 (76.2%); most locations are found on the retina (71.4%). More than three fourths of patients had single IOFB (76.2%). Visual acuity is mostly present between counting fingers- 0.1 Snellen. Patients showed to have had retinal breaks (61.9%).
CONCLUSION
The majority of IOFB patients were working-age males. The nature of IOFBs is mostly metallic and retained in the posterior segment.
目的
描述西琴多眼科医院国家眼科中心开放性眼球损伤类型的眼内异物的表现及临床特征。
方法
本描述性回顾性研究基于2019年1月至2023年6月在西琴多眼科医院国家眼科中心确诊为眼内异物的患者的病历。
结果
根据病历记录，共记录了21例眼外伤病例，具体为眼内异物。其中男性20例（95.2%）。15例（71.4%）外伤发生在户外活动中，全部为穿透伤（100%）。大多数病例为转诊病例（57.1%）。11例在受伤前24小时内接受了手术（52.4%）。异物进入部位在角膜（17例，81%）。金属异物占16例（76.2%）；大多数位于视网膜（71.4%）。超过四分之三的患者有单个眼内异物（76.2%）。视力大多在数指至0.1 Snellen之间。患者出现视网膜裂孔的比例为61.9%。
结论
大多数眼内异物患者为劳动年龄男性。眼内异物的性质大多为金属，且留存于眼后段。
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