眼睛看不到大脑不知道的东西

Aisyah Amirah binti Mohd Zahari, Firdaus Ujang
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引用次数: 0

摘要

背景:眼内异物(IOFB)是一种常见的眼部外伤,是造成视力损害的主要原因。大多数病例报告发生在工作场所,通常与涉及金属物体的活动有关。锤击、钻孔、爆炸和加工工具的使用都是造成IOFB的原因。由于在常规检查中不能直接看到角度内的异物,因此经常会遗漏。因此,在所有穿透性和全层性角膜撕裂病例中,必须进行全面的检查,包括角膜镜检查和影像学检查。目的:我们报告一例自封闭全层角膜撕裂伤,夹角处有金属异物。方法:病例报告结果:一名19岁男孩,在就诊前1周出现右眼外伤后不适。检查发现在1-2点钟方向有一个自封闭的全层角膜撕裂,并在角上发现一个异物。一个由金属组成的异物在眼内磁铁的引导下成功地手术移除。结论:所有眼自闭合性穿透伤均需高度怀疑眼内异物。影像学和全面检查眼底扩张检查和阴道镜检查将有助于确定异物的位置。因此,明确的治疗将防止与眼内异物相关的长期并发症。
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EYES CANNOT SEE WHAT THE BRAIN DOES NOT KNOW
Background: Intraocular foreign body (IOFB) is a common ocular trauma and is a leading cause of visual impairment. Majority of the cases reported the occurrence at the workplace and usually related to activities involving metallic objects. Hammering, drilling, explosion and usage of machining tools are among the causes of IOFB. Foreign body in the angle are frequently missed as it is not visualised directly during a routine examination. Thus, a thorough examination which includes gonioscopy and imaging must be done in all penetrating and full thickness cornea laceration cases. Purpose: We report a case of self-sealed full thickness cornea laceration with presence of metal foreign body in the angle. Method: Case Report Result: A 19 year-old boy, presented with right eye discomfort following trauma 1 week prior to presentation. Examination revealed a self-sealed full thickness cornea laceration at 1-2 o’clock with a foreign body found seated on the angle from gonioscopy. A foreign body consist of metal had successfully removed surgically with the facilitation of intraocular magnet. Conclusion: All self-sealed penetrating injury to the eye required a high index of suspicious of intraocular foreign body. An imaging and complete examination with dilated fundus examination and gonioscopy will be helpful to identify the location of foreign body. Hence, definitive treatment will prevent long term complication related to intraocular foreign body.
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