Romem M
Ann Ophthalmol. 1977 Nov;9(11):1449-50.
A 42-year-old man was injured twice in his left eye. The first injury resulted in a lacerated skin wound on the forehead, eyebrows and lids, a broken orbital wall and rim, and a small rupture of the sclera at 12 o'clock. The second injury caused a rupture of his left globe. During the operation a large scleral rupture, 1 mm from the limbus, a prolapsed iris, vitreous, and the lens were found under the conjunctiva. The would had been cleaned, the prolapsed iris and vitreous were excised, and the scleral wound sutured. One year after the injury the visual acuity was 6/10 with an aphakic contact lens correction and binocular vision was established. Diagnostic features and indications for immediate repair are discussed.
一名42岁男性左眼受过两次伤。第一次受伤导致前额、眉毛和眼睑皮肤裂伤,眶壁和眶缘骨折,以及12点处巩膜小破裂。第二次受伤导致左眼眼球破裂。手术中发现距角膜缘1毫米处有一大的巩膜破裂,结膜下有虹膜脱垂、玻璃体和晶状体。伤口已清理,脱垂的虹膜和玻璃体已切除,巩膜伤口已缝合。受伤一年后,无晶状体隐形眼镜矫正视力为6/10,建立了双眼视力。讨论了诊断特征和立即修复的指征。