Hollwich F, Damaske E, Liermann H
Klin Monbl Augenheilkd. 1976 Oct;169(4):481-8.
Out of 393 intraocular foreign bodies (1961-1975) 361 were magnetically removed and 32 non-magnetically (copper 7,brass,2,lead 5, glass 10, stone 3, wood 4 and plastic 1).60% of the foreign bodies were caused by hammer and chisel injuries.73 foreign bodies were diagnosed too late, in 71 cases no x-ray was made. The incidence of complications (infection, siderosis, retinal detachment was considerably increased where the foreign bodies were removed late. From the 73 foreign bodies (18.5%) the patient did not consult a doctor in 37 cases because of "insignificance". 4 times the family doctor was consulted, who treated the patient symptomatically. In 4 cases occurring in the weekend no eye-specialist could be ostensibly found. In 26 cases the ophthalmologist performed no x-ray control, and small foreign bodies were twice described as "x-ray plate artefacts" from the roentgen specialist. It must be an absolute rule in the eye-doctor's practice that every injury received while working with metals necessitates an x-ray control!
在393例眼内异物病例（1961 - 1975年）中，361例通过磁性取出，32例通过非磁性方法取出（铜质7例、黄铜2例、铅质5例、玻璃10例、石块3例、木质4例、塑料1例）。60%的异物是由锤子和凿子损伤所致。73例异物诊断过晚，71例未进行X线检查。异物取出过晚时，并发症（感染、铁锈症、视网膜脱离）的发生率显著增加。在这73例异物（占18.5%）中，37例患者因“无关紧要”未就医。4例咨询了家庭医生，家庭医生对患者进行了对症治疗。在周末发生的4例病例中，表面上找不到眼科专家。在26例病例中，眼科医生未进行X线检查，放射科专家曾两次将小异物描述为“X线片伪影”。眼科医生的诊疗工作中必须有一条绝对的准则，即任何与金属相关工作时受到的眼部损伤都必须进行X线检查！
