Martorina M
Department of Ophthalmology, Regional Hospital, Aosta, Italy.
Ann Ophthalmol. 1993 Sep;25(9):324-5.
A case of unilateral spontaneous corneal perforation with expulsion of intraocular contents is reported in an old woman with corneal ulcer and hypopyon. Spontaneous corneal perforation with extrusion of intraocular contents is a disastrous and exceptional event that may occur in premature infants or in adults with severe ocular diseases. It is probable that, during the evolution of the corneal ulcer in this case, the organisms had caused necrosis of the cornea, culminating in a corneal perforation followed by a rapid decompression of the anterior chamber with a resultant expulsive hemorrhage. Glaucoma, arteriosclerosis, and hypertension could play a role in the genesis of the expulsive hemorrhage.
本文报告了一例老年女性因角膜溃疡和前房积脓导致单侧自发性角膜穿孔并伴有眼内容物脱出的病例。自发性角膜穿孔并伴有眼内容物挤出是一种灾难性的罕见事件，可能发生在早产儿或患有严重眼部疾病的成年人中。在该病例中，角膜溃疡发展过程中，病原体很可能导致了角膜坏死，最终导致角膜穿孔，随后前房迅速减压，继而引发了驱逐性出血。青光眼、动脉硬化和高血压可能在驱逐性出血的发生过程中起作用。
