Eye Banking and Corneal Transplantation最新文献

筛选

英文中文

Corneal Transplantation in a Patient With Nonperforating Ocular Contusion Caused by a High-Pressure Washer: A Case Report 高压清洗机导致的非穿孔性眼部挫伤患者的角膜移植手术：病例报告

Eye Banking and Corneal Transplantation Pub Date : 2024-04-04 DOI: 10.1097/ebct.0000000000000021

Mana Miyata, Takashi Ono, Y. Mori, Toshihiro Sakisaka, R. Nejima, Takuya Iwasaki, Takashi Miyai, Kazunori Miyata

{"title":"Corneal Transplantation in a Patient With Nonperforating Ocular Contusion Caused by a High-Pressure Washer: A Case Report","authors":"Mana Miyata, Takashi Ono, Y. Mori, Toshihiro Sakisaka, R. Nejima, Takuya Iwasaki, Takashi Miyai, Kazunori Miyata","doi":"10.1097/ebct.0000000000000021","DOIUrl":"https://doi.org/10.1097/ebct.0000000000000021","url":null,"abstract":"\u0000 \u0000 This report details a rare case of a high-pressure washer injury that caused ocular contusion, vitreous hemorrhage, and irreversible corneal edema without perforation necessitating corneal transplantation.\u0000 \u0000 \u0000 \u0000 The medical chart of a patient with a high-pressure washer injury at Miyata Eye Hospital (Miyazaki, Japan) was retrospectively reviewed.\u0000 \u0000 \u0000 \u0000 A 57-year-old man presented to our hospital with a contusion in the left eye caused by a high-pressure washer 1 day prior to the visit. The visual acuity in the left eye was hand motion. Slit-lamp examination of the left eye revealed the presence of corneal epithelial defects, conjunctival lacerations, hyphema, and lacerated iris. Mild clouding of the lens was observed in the anterior chambers, suggestive of cataract. Anterior segment optical coherence tomography revealed the presence of blood in the anterior chamber and a thickened and edematous cornea. Ultrasound examination revealed the presence of vitreous hemorrhage. Therefore, vitreous surgery and traumatic cataract removal were performed under general anesthesia. Postoperatively, the corneal edema and marked opacity persisted, accompanied by glaucoma, and the visual acuity was measured at 0.01. Penetrating keratoplasty was performed 1 year and 2 months after the injury, and scleral fixation of the intraocular lens was performed under local anesthesia 2 years after the injury. The final visual acuity was 0.1 under rigid gas-permeable contact lens usage 3.5 years after sustaining the injury, and the patient required anti-glaucoma drugs.\u0000 \u0000 \u0000 \u0000 Our patient presented with ocular trauma caused by a high-pressure washer. Corneal transplantation was required although no ocular lacerations were detected. Sufficient instructions must be provided on the usage of heavy machinery to develop a safe working environment.\u0000","PeriodicalId":504879,"journal":{"name":"Eye Banking and Corneal Transplantation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0