Lee L R, Briner A M
Department of Ophthalmology, Princess Alexandra Hospital, Woolloongabba, Queensland.
Aust N Z J Ophthalmol. 1996 Nov;24(4):361-3. doi: 10.1111/j.1442-9071.1996.tb01608.x.
Intralenticular metallic foreign bodies may be well tolerated for many years.
A 24-year-old caucasian man was referred with an intralenticular metallic foreign body present in the left eye for five days. Following initial treatment with topical steroid and antibiotic, the lens remained clear and visual acuity normal. Two years later the left eye developed an anterior uveitis, with reduced vision. A left phacoemulsification lens extraction with removal of the intralenticular foreign body and insertion of a posterior chamber intraocular lens was performed.
Management of intralenticular metallic foreign bodies may be conservative till intraocular inflammation or cataract develops.
晶状体内部金属异物多年来可能耐受性良好。
一名24岁的白种男性因左眼晶状体内部存在金属异物五天而前来就诊。在最初使用局部类固醇和抗生素治疗后,晶状体保持透明,视力正常。两年后,左眼发生前葡萄膜炎,视力下降。遂进行了左眼超声乳化晶状体摘除术,取出晶状体内部异物并植入后房型人工晶状体。
晶状体内部金属异物的处理在眼内炎症或白内障发生之前可采取保守治疗。