竹子造成的眼球穿透性创伤导致眼球撕裂:病例报告

Indah Latifah, Dr. Lailus Sofatul Layyin, Sp.M
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摘要

导读:穿透性眼外伤包括睁眼外伤,这导致眼穿透性外伤的处理时间和精确性决定了晚期视力预后。本病例中,一名男性因暴露于竹子中而导致右眼穿透性外伤,延误和处理不当导致右眼眼球破裂。一名 42 岁的男性因在入院前两天被竹片刺伤,右眼充血、疼痛,来到急诊室就诊。视力检查显示右眼视力为 LP (-),左眼视力为 6/6,右眼触诊柔软,左眼触诊正常,右眼前段检查显示部分眼球内容物脱出,左眼在正常范围内。化验中发现 15 280 个白细胞,证实右眼受到感染。病例说明 :描述性研究 讨论:对这些患者的观察包括覆盖右眼、静脉注射抗生素、类固醇和镇痛剂。根据患者右眼的情况,建议在全身麻醉的情况下进行右眼球剥离术。结论:穿透性眼外伤导致眼内组织广泛损伤,视力预后不佳,应考虑行眼球剥离术,以防止发生交感神经性眼炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ocular Penetration Trauma due to Bamboo Resulting in Evisceration: A Case Report
Introduction : Penetrating ocular trauma includes open-eye trauma, which leads to the time and a precision of eye- penetrating trauma’s management determine the advanced vision prognosis. In this case a male experience penetration trauma of the right eye due to exposure to the bamboo, delaying and inadequate management resulted in evisceration of the right eye. A 42-year-old male came to ER RSUD Prof. Soekandar mojokerto with bloody right eye and pain from getting a piece of bamboo from two days before entering the hospital. The patient also complained that the right eye is swollen so that it is unable to open the eyes. vision examination revealed LP (-) in the right eye, visual acuity in the left eye was 6/6, soft palpation in the right eye, normal palpation in the left eye, examination of the right anterior segment of the eye revealed that part of the eyeball content had prolapsed and for the left eye within the normal range. During laboratory tests, 15.280 white blood cells were found, which confirmed the infection of the right eye. Case Illustration : Descriptive Study Discussion : The observations on these patients include covered the right eye, antibiotic, steroids, and analgesic by intravenous injection. Based on the condition of the patient's right eye, it is advisable to do evisceration of the right eyeball under general anesthesia. Conclusion : Penetrating ocular trauma resulting in extensive intra ocular tissue damage and poor vision prognosis, considered for evisceration, in order to prevent the development of the sympatetic ophthalmia.
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