螺钉坠落造成轨道损坏。

Cassandra Bradby MD, Juan March MD, Roberto Portela MD
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引用次数: 0

摘要

一名 33 岁的男性因左眼视力下降到社区医院就诊,原因是一颗螺丝钉从约 12 英寸的高处掉落到他的眼睛上。患者主诉轻度至中度疼痛,只能看到明亮的光线和阴影。体格检查发现角膜中央有荧光素吸收,但没有明确的塞德尔征。瞳孔等大、圆形,对光线有反应。检查时眼外肌运动疼痛。眼睑等周围结构未受伤。由于担心眼球破裂,患者被转到一家三级医疗中心接受眼科评估。转院前进行了眼眶计算机断层扫描(CT),结果显示左侧眶周有一处小裂口(图 1)。眼科评估显示,患者角膜全厚裂伤和外伤性白内障已在手术室修复。患者开始使用莫西沙星、替莫普汀、泼尼松龙外用药和 cyclogel,出院后进行了门诊随访(图 2 和图 3)。
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Orbital damage due to falling screw

A 33-year-old male presented to a community hospital for vision loss in his left eye after a screw fell from a height of approximately 12 inches onto his eye. The patient complained of mild to moderate pain and was able to see only bright lights and shadows. Physical examination noted fluorescein uptake over the central cornea without a definite Seidel sign present. Pupils were equal, round, and reactive to light. Extraocular movements were painful on examination. Surrounding structures, such as the eyelids, were uninjured. The patient was transferred to a tertiary care center for ophthalmology evaluation for concerns of a ruptured globe. A computed tomography (CT) scan of the orbits was performed prior to transfer and showed a small left periorbital laceration (Figure 1). Ophthalmology evaluation showed a full thickness corneal laceration and traumatic cataract, which were repaired in the operating room. Moxifloxacin, timoptic, prednisolone topical, and cyclogel were started and the patient was discharged with outpatient follow-up (Figures 2 and 3).

The authors declare they have no conflicts of interest.

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CiteScore
4.10
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0.00%
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审稿时长
5 weeks
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