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与眼内金属异物残留相关的视盘肿胀

Optic disc swelling associated with retained metallic intraocular foreign body.

作者信息

Jones Ruth, Pepper Irene, Ross Ian, Winder Stephen

机构信息

Ophthalmology, Royal Hallamshire Hospital, Sheffield, UK

Ophthalmology, Royal Hallamshire Hospital, Sheffield, UK.

出版信息

BMJ Case Rep. 2025 Apr 26;18(4):e261236. doi: 10.1136/bcr-2024-261236.

DOI:10.1136/bcr-2024-261236
PMID:40287154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12034922/
Abstract

We report a case of a man in his 40s who presented with a swollen optic disc and a metallic intraocular foreign body (IOFB) impacted on the retinal surface of the same eye. The IOFB was removed by vitrectomy and the swelling of the optic nerve slowly resolved. Literature search revealed one previous report of a retained IOFB associated with optic disc swelling as part of an ocular siderosis case series. The possibility that the optic disc swelling in our patient was as a result of a local toxic reaction to the metallic foreign body is discussed.

摘要

我们报告了一例40多岁男性患者，其表现为视盘肿胀，且同一眼的视网膜表面有一枚金属眼内异物（IOFB）。通过玻璃体切除术取出了IOFB，视神经肿胀也逐渐消退。文献检索发现，之前有一份报告将一枚残留的IOFB与视盘肿胀相关联，该报告是眼部铁锈沉着症病例系列的一部分。本文讨论了我们这位患者视盘肿胀可能是由金属异物的局部毒性反应所致的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdee/12034922/6f3538b47381/bcr-18-4-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdee/12034922/c0f0d5cb78a9/bcr-18-4-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdee/12034922/943fac078660/bcr-18-4-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdee/12034922/6f3538b47381/bcr-18-4-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdee/12034922/c0f0d5cb78a9/bcr-18-4-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdee/12034922/943fac078660/bcr-18-4-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdee/12034922/6f3538b47381/bcr-18-4-g003.jpg

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BMJ Case Rep. 2025 Apr 26;18(4):e261236. doi: 10.1136/bcr-2024-261236.
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本文引用的文献

1
Intraocular foreign body: Characteristics, visual outcomes, and predictive values of ocular trauma score.眼内异物：眼外伤评分的特征、视觉预后及预测价值。
Heliyon. 2023 Oct 4;9(10):e20640. doi: 10.1016/j.heliyon.2023.e20640. eCollection 2023 Oct.
2
Retained Intraocular Iron Foreign Body Leading to Late-Onset Siderotic Glaucoma: A Challenging Case Report.眼内铁异物滞留导致迟发性铁锈症性青光眼：一例挑战性病例报告。
Am J Case Rep. 2023 Sep 15;24:e939629. doi: 10.12659/AJCR.939629.
3
Panophthalmitis secondary to retained intraocular foreign body amidst a national lockdown during the COVID-19 pandemic: A case series and review of literature.
2019年冠状病毒病大流行期间全国封锁期间因眼内异物残留继发的全眼球炎：病例系列及文献综述
Ann Med Surg (Lond). 2022 May 2;77:103692. doi: 10.1016/j.amsu.2022.103692. eCollection 2022 May.
4
Endophthalmitis, Visual Outcomes, and Management Strategies in Eyes with Intraocular Foreign Bodies.眼内异物所致眼内炎、视觉预后及治疗策略
Clin Ophthalmol. 2022 May 3;16:1401-1411. doi: 10.2147/OPTH.S358064. eCollection 2022.
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Epidemiological characteristics and prognostic factors of post-traumatic endophthalmitis.创伤性眼内炎的流行病学特征和预后因素。
J Int Med Res. 2022 Feb;50(2):3000605211070754. doi: 10.1177/03000605211070754.
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Clinical Characteristics and Prognostic Factors of Posterior Segment Intraocular Foreign Body: Canadian Experience from a Tertiary University Hospital in Quebec.眼后段眼内异物的临床特征及预后因素：来自魁北克一所三级大学医院的加拿大经验
J Ophthalmol. 2021 May 17;2021:9990290. doi: 10.1155/2021/9990290. eCollection 2021.
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Retained iron intraocular foreign body with late onset siderotic glaucoma: a clinical challenge.眼内铁异物残留伴迟发性铁锈沉着性青光眼：一项临床挑战。
BMJ Case Rep. 2021 Apr 15;14(4):e240600. doi: 10.1136/bcr-2020-240600.
8
Ocular siderosis: a misdiagnosed cause of visual loss due to ferrous intraocular foreign bodies-epidemiology, pathogenesis, clinical signs, imaging and available treatment options.眼内铁质沉着症：因眼内铁质异物导致视力丧失的被误诊病因——流行病学、发病机制、临床症状、影像学表现及现有治疗选择。
Doc Ophthalmol. 2021 Apr;142(2):133-152. doi: 10.1007/s10633-020-09792-x. Epub 2020 Sep 19.
9
Metallic intraocular foreign body as detected by magnetic resonance imaging without complications- A case report.磁共振成像检测到的无并发症金属性眼内异物——病例报告
Am J Ophthalmol Case Rep. 2017 Jun 22;7:76-79. doi: 10.1016/j.ajoc.2017.06.010. eCollection 2017 Sep.
10
Ocular Trauma Score in Siderosis Bulbi With Retained Intraocular Foreign Body.眼球铁锈症伴眼内异物残留的眼外伤评分
Medicine (Baltimore). 2015 Sep;94(39):e1533. doi: 10.1097/MD.0000000000001533.