Lam D S, Chua J K, Kwok A K, Wong A K, Leung A T, Fan D S, Gopal L
Prince of Wales Hospital, Department of Ophthalmology & Visual Sciences, Chinese University of Hong Kong, Shatin, NT, Hong Kong.
J Cataract Refract Surg. 1999 Feb;25(2):285-8. doi: 10.1016/s0886-3350(99)80141-2.
A 44-year-old woman sustained a severe left eye contusion from the explosion of a plastic bottle containing fermented orange juice. This resulted in extensive iridodialysis, posterior crystalline lens dislocation, and intractable glaucoma. Eleven days after the injury, combined surgery of trabeculectomy with mitomycin-C, pars plana vitrectomy, lens removal, iridodialysis repair, and scleral-fixated intraocular lens implantation under general anesthesia was performed. Intraocular pressure (IOP) was under control until 5 weeks postoperatively; glaucoma implant surgery was then performed. At the last follow-up 15 months after the combined surgery, best corrected visual acuity was 20/50 and IOP was 15 mm Hg without medication. Combined surgery can be considered a safe, effective option in the management of severe eye trauma in selected cases.
一名44岁女性因装有发酵橙汁的塑料瓶爆炸而遭受严重的左眼挫伤。这导致了广泛的虹膜根部离断、晶状体后脱位和难治性青光眼。受伤11天后，在全身麻醉下进行了小梁切除术联合丝裂霉素C、玻璃体切除术、晶状体摘除、虹膜根部离断修复和巩膜固定人工晶状体植入的联合手术。眼压在术后5周内得到控制；随后进行了青光眼植入手术。在联合手术后15个月的最后一次随访中，最佳矫正视力为20/50，眼压为15 mmHg，无需药物治疗。在某些特定病例中，联合手术可被视为治疗严重眼外伤的一种安全、有效的选择。
