伴有视网膜坏死和玻璃体炎症的眼部热损伤：一例报告
Thermal ocular injury associated with retinal necrosis and vitreous inflammation: a case report.
作者信息
Gu Ruiping, Guo Yue, Lei Boya, Jiang Rui
机构信息
Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China.
Ocular Trauma Center, Eye and ENT Hospital of Fudan University, Shanghai, China.
出版信息
Front Med (Lausanne). 2025 Jun 25;12:1511514. doi: 10.3389/fmed.2025.1511514. eCollection 2025.
BACKGROUND
A case of thermal ocular injury associated with retinal necrosis and vitreous inflammation is reported.
CASE PRESENTATION
A 53-year-old man's right eye was hit by a heated screw, which embedded directly into the nasal orbit. Two weeks after the foreign body was removed, serious vitreous inflammation and a large yellow-white lesion on the nasal peripheral retina, which resembled a subretinal abscess, were observed. Endophthalmitis could not be ruled out and vitrectomy was performed. During vitrectomy, we identified the yellow-white lesion as retinal necrosis and edema, with localized retinal detachment within the lesion. After surgery, there was significant macular atrophy with poor vision.
CONCLUSION
Thermal retinal burns must be differentiated from infectious endophthalmitis to ensure timely anti-inflammatory treatment.
背景
报告一例伴有视网膜坏死和玻璃体炎症的眼部热损伤病例。
病例介绍
一名53岁男性的右眼被一颗加热的螺丝钉击中，螺丝钉直接嵌入鼻侧眼眶。异物取出两周后，观察到严重的玻璃体炎症以及鼻侧周边视网膜上一个类似视网膜下脓肿的大的黄白色病变。不能排除眼内炎，遂进行了玻璃体切除术。在玻璃体切除术中，我们确定黄白色病变为视网膜坏死和水肿，病变内有局限性视网膜脱离。术后，出现明显的黄斑萎缩，视力不佳。
结论
必须将视网膜热烧伤与感染性眼内炎相鉴别，以确保及时进行抗炎治疗。
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