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超声生物显微镜对眼外伤后眼前节异物的检测

Ultrasound biomicroscopic detection of anterior ocular segment foreign body after trauma.

作者信息

Barash D, Goldenberg-Cohen N, Tzadok D, Lifshitz T, Yassur Y, Weinberger D

机构信息

Department of Ophthalmology, Rabin Medical Center (Beilinson Campus), Petah Tiqva, Israel.

出版信息

Am J Ophthalmol. 1998 Aug;126(2):197-202. doi: 10.1016/s0002-9394(98)00147-0.

DOI:10.1016/s0002-9394(98)00147-0
PMID:9727513
Abstract

PURPOSE

To describe the role of ultrasound biomicroscopy in the detection and localization of foreign bodies in anterior ocular segment foreign body after trauma.

METHODS

In a prospective study, ultrasound biomicroscopy was performed in five eyes of five consecutive patients with suspected anterior ocular segment foreign body.

RESULTS

In all five eyes, ultrasound biomicroscopy detected and precisely localized small foreign bodies (metallic in two eyes, stone in one eye, plastic in one eye, and ceramic in one eye) in the cornea (one eye), superficial sclera (one eye), and anterior ocular segment (three eyes). Operative procedures to remove the intraocular foreign bodies (three cases) were guided by the ultrasound biomicroscopy information.

CONCLUSIONS

Ultrasound biomicroscopy is a noninvasive method for detecting anterior segment intraocular foreign bodies after perforating trauma. It can be used to accurately diagnose foreign bodies and assist in surgical management, particularly when direct visualization is obscured because of the trauma. In eyes with partial-thickness corneoscleral lacerations or sealed full-thickness corneoscleral laceration and suspected anterior ocular segment foreign body, ultrasound biomicroscopy is a safe and effective method for detecting and localizing foreign bodies in the anterior ocular segment.

摘要

目的

描述超声生物显微镜在眼外伤后眼前节异物检测及定位中的作用。

方法

在一项前瞻性研究中,对连续5例疑似眼前节异物患者的5只眼进行了超声生物显微镜检查。

结果

在所有5只眼中,超声生物显微镜检测并精确地定位了角膜(1只眼)、浅层巩膜(1只眼)和眼前节(3只眼)内的小异物(2只眼为金属异物,1只眼为结石,1只眼为塑料异物,1只眼为陶瓷异物)。3例眼内异物取出手术是根据超声生物显微镜提供的信息进行指导的。

结论

超声生物显微镜是一种用于检测穿孔伤后眼前节眼内异物的非侵入性方法。它可用于准确诊断异物并协助手术治疗,尤其是在因外伤导致直接观察受限时。对于部分厚度角巩膜裂伤或闭合性全层角巩膜裂伤且疑似眼前节异物的眼,超声生物显微镜是检测和定位眼前节异物的一种安全有效的方法。

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Ultrasound biomicroscopic detection of anterior ocular segment foreign body after trauma.超声生物显微镜对眼外伤后眼前节异物的检测
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