Cibis G W, Weingeist T A, Krachmer J H
Arch Ophthalmol. 1978 Mar;96(3):485-8. doi: 10.1001/archopht.1978.03910050261014.
Nonpenetrating "blast injuries" to the eye in two patients resulted in multiple, small, corneal epithelial foreign bodies that were associated with characteristic ring-shaped opacities of the corneal endothelium. These endothelial lesions were clinically visible immediately after injury and became more pronounced during the next several hours. They disappeared within days and resulted in no permanent loss of visual acuity. This communication describes and illustrates the appearance of these endothelial lesions both clinically and in an animal model. Light and electron microscopic observations of an experimental model, with the use of monkey and rabbit eyes, revealed that the ring-shaped opacities resulted from swelling of the corneal endothelium, as well as accumulation of fibrin and leukocytes on the injured cells. Except for the epithelial impact site and the concussion injury of the endothelium, the cornea was uninvolved, and the stroma remained clear.
两名患者眼部遭受非穿透性“爆炸伤”，导致角膜上皮出现多个小异物，并伴有角膜内皮特征性的环形混浊。这些内皮损伤在受伤后立即在临床上可见，并在接下来的几个小时内变得更加明显。它们在数天内消失，未导致视力永久性丧失。本文描述并展示了这些内皮损伤在临床和动物模型中的表现。对使用猴眼和兔眼的实验模型进行光镜和电镜观察发现，环形混浊是由角膜内皮肿胀以及纤维蛋白和白细胞在受损细胞上的积聚所致。除上皮撞击部位和内皮震荡伤外，角膜未受影响，基质保持清晰。
