Stubbs A J, Aburn N S
Department of Ophthalmology, Christchurch Hospital, New Zealand.
Aust N Z J Ophthalmol. 1996 Feb;24(1):71-3. doi: 10.1111/j.1442-9071.1996.tb01555.x.
The use of infant pacifiers (dummies) is common in Australasian communities and has been reported to be associated with various injuries, but to date ocular trauma has not been reported.
A 14-month-old child sustained a penetrating eye injury from the infant pacifier that was in his mouth during a minor fall. Only a lid laceration was detected at the time. One week later he presented with mydriasis, heterochromia and a poor red reflex. Diagnosis of a penetrating eye injury was made by examination under anaesthesia, with B-scan ultrasonography demonstrating hypotony but no retinal detachment or intraocular foreign body. Funduscopy revealed a small inferior vitreous haemorrhage. Exploration of the globe adjacent to the lid wound showed a 6 mm laceration through the sclera plugged with prolapsed vitreous.
Serious ocular injury may result after a minor fall with some designs of rigid infant pacifiers. Heterochromia and anisocoria noted by the mother heralded more serious ocular injury in this case. The delay in diagnosis of this injury emphasizes the importance of ocular examination to exclude eye trauma when injuries occur around the orbit.
婴儿安抚奶嘴在澳大拉西亚社区使用普遍，且据报道与多种损伤有关，但迄今为止尚未有眼外伤的报道。
一名14个月大的儿童在一次轻微跌倒时，口中含着的婴儿安抚奶嘴导致了眼球穿通伤。当时仅发现眼睑裂伤。一周后，他出现瞳孔散大、虹膜异色和红光反射不佳。在麻醉下检查确诊为眼球穿通伤，B超检查显示眼压降低，但未发现视网膜脱离或眼内异物。眼底检查发现下方有少量玻璃体出血。对眼睑伤口附近的眼球进行探查，发现巩膜有一处6毫米的裂伤，有脱出的玻璃体堵塞。
一些设计的硬质婴儿安抚奶嘴在儿童轻微跌倒后可能导致严重眼外伤。在本病例中，母亲注意到的虹膜异色和瞳孔不等大预示着更严重的眼外伤。此次损伤诊断的延迟强调了在眼眶周围发生损伤时进行眼部检查以排除眼外伤的重要性。
