Filemonowicz-Skoczek Agnieszka, Romanowska-Dixon Bożena
Department of Ophthalmology, Faculty of Medicine, Jagiellonian University Medical College, Kraków; Clinic of Ophthalmology and Ocular Oncology, University Hospital in Kraków, Poland;
Department of Ophthalmology, Faculty of Medicine, Jagiellonian University Medical College, Kraków; Clinic of Ophthalmology and Ocular Oncology, University Hospital in Kraków, Poland.
Folia Med Cracov. 2024 Dec 30;64(4):23-29. doi: 10.24425/fmc.2024.152179.
Eye injuries are a serious problem and may result in reduced visual acuity. The most common eye injuries include corneal damage, often involving the presence of a foreign body. OCT examination of the anterior segment - AS OCT - may be a valuable test in the diagnostics and follow-up of patients in whom the presence of a foreign body after eye trauma is suspected.
The authors present the case of a young man diagnosed with multiple, glass, intrastromal corneal foreign bodies. A 30-year-old patient visited an ophthalmologist a few days after an eye injury accompanied by the breaking of a glass object. Initially, only a non-penetrating corneal wound was diagnosed. During the examination, the ophthalmologist noticed a small shard of glass coming from the wound. The small glass foreign body was removed and the patient was advised to consult a center of higher reference. The patient reported to the Department of Ophthalmology and Ocular Oncology at Jagiellonian University Medical College in Kraków, Poland, 2 weeks after the injury. Slit lamp examination did not provide a clear answer as to the presence of glass fragments in the cornea. The wound was healed. The eyeball showed no signs of irritation. Anterior segment optical coherence tomography (AS-OCT) was performed, which revealed small pieces of glass. The patient did not consent to wound revision. The patient's follow-up lasted 4 years. During this time, no signs of post-traumatic eye irritation or corneal edema were observed, and visual acuity did not deteriorate.
AS-OCT examination enables accurate diagnosis of the presence and location of glass foreign bodies in the cornea. Glass, as an inert material, does not tend to cause inflammation of the cornea and anterior segment. The patient requires further regular ophthalmological follow-up.
眼外伤是一个严重问题，可能导致视力下降。最常见的眼外伤包括角膜损伤，常伴有异物存在。眼前节光学相干断层扫描（AS-OCT）对于怀疑眼外伤后有异物存在的患者的诊断和随访可能是一项有价值的检查。
作者报告了一名诊断为多发性角膜基质内玻璃异物的年轻男性病例。一名30岁患者在眼部受伤并伴有玻璃物体破碎几天后就诊于眼科医生。最初仅诊断为非穿透性角膜伤口。检查期间，眼科医生注意到伤口处有一小片玻璃碎片。取出了小玻璃异物，并建议患者到上级医疗机构咨询。受伤2周后，患者前往波兰克拉科夫雅盖隆大学医学院眼科和眼肿瘤科就诊。裂隙灯检查未能明确角膜内是否存在玻璃碎片。伤口已愈合。眼球无刺激迹象。进行了眼前节光学相干断层扫描（AS-OCT），结果显示有小玻璃碎片。患者不同意进行伤口修复。患者的随访持续了4年。在此期间，未观察到创伤后眼部刺激或角膜水肿的迹象，视力也未恶化。
AS-OCT检查能够准确诊断角膜内玻璃异物的存在及位置。玻璃作为一种惰性材料，不易引起角膜和眼前节炎症。患者需要进一步定期眼科随访。
