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机动车事故后多发性非磁性眼内及眶内异物的处理:一例报告

Management of multiple non-magnetic intraocular and intraorbital foreign bodies following a motor vehicle accident: a case report.

作者信息

Han Shao-Lei, Wang Ting-Ting, Wen Yuan, Liu Lin-Bo, Zhao Ran

机构信息

Department of Ophthalmology, Hebei Eye Hospital, Xingtai, China.

Department of Ophthalmology, Hebei Medical University, Shijiazhuang, China.

出版信息

Front Med (Lausanne). 2025 May 23;12:1519711. doi: 10.3389/fmed.2025.1519711. eCollection 2025.

Abstract

We report a rare case of multiple non-magnetic intraocular and intraorbital foreign bodies (IOFBs) resulting from a motor vehicle accident. A 29-year-old male presented with sudden vision loss and pain in his right eye after windshield fragments penetrated the eye. Initial examination revealed severe visual impairment. Emergency and subsequent staged surgical interventions were performed to remove multiple glass-like foreign bodies, repair retinal detachment, and ultimately restore visual acuity. Three months after extensive procedures, best-corrected visual acuity significantly improved to 0.2. This case report is crucial as it presents a rare instance of a patient with open-globe injury and multiple non-magnetic IOFBs achieving good visual outcomes despite complex procedures. It underscores the importance of thorough evaluation, phased surgery, and multidisciplinary teamwork in managing such cases, while also indicating the associated difficulties, thereby offering valuable insights for clinical decision-making and future research on severe ocular traumas.

摘要

我们报告了一例因机动车事故导致的罕见的多发性非磁性眼内和眶内异物(IOFBs)病例。一名29岁男性在挡风玻璃碎片穿透眼睛后,出现右眼突然视力丧失和疼痛。初步检查显示严重视力损害。进行了急诊及后续分期手术干预,以取出多个玻璃样异物、修复视网膜脱离,并最终恢复视力。在进行广泛手术三个月后,最佳矫正视力显著提高至0.2。本病例报告至关重要,因为它呈现了一个罕见的病例,即开放性眼球损伤且有多个非磁性IOFBs的患者,尽管手术复杂,但仍取得了良好的视觉效果。它强调了在处理此类病例时进行全面评估、分阶段手术和多学科团队合作的重要性,同时也指出了相关困难,从而为严重眼外伤的临床决策和未来研究提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1f7/12141244/7db0a90d2bbf/fmed-12-1519711-g001.jpg

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