外伤性全厚角膜裂伤的非手术治疗:病例报告。

Leslie Huang, Jennifer Larson
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引用次数: 0

摘要

导言:在本报告中,我们描述了一例非手术治疗的大面积、全厚外伤性角膜裂伤病例:一名 22 岁的男性在工伤 4 天后出现右眼红肿、疼痛。他被发现有一处 6.5 毫米的全厚角膜裂伤。伤口呈 Seidel 阴性,因此决定以非手术方式处理裂伤。患者没有出现眼内炎或伤口并发症,矫正视力恢复到 20/25.讨论:全厚角膜裂伤和大于 3 毫米的裂伤通常需要在无菌环境中进行手术治疗,而部分厚度或小的自愈性裂伤通常需要药物治疗。即使在理想的条件下,手术修复裂伤也可能导致散光问题,因此应尽可能避免。通过仔细检查和密切随访,我们的这位患者成功地接受了非手术治疗,避免了相关并发症的发生:本报告扩展了有关角膜裂伤适当处理的文献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nonsurgical Management of a Traumatic, Full-Thickness Corneal Laceration: A Case Report.

Introduction: In this report, we describe a case of a large, full-thickness traumatic cornea laceration that was managed nonsurgically.

Case presentation: A 22-year-old male presented with a red, painful right eye 4 days after a work-related injury. He was found to have a 6.5 mm full-thickness corneal laceration. The wound was Seidel negative, so the decision was made to manage the laceration nonsurgically. The patient did not develop endophthalmitis or wound complications, and his corrected visual acuity recovered to 20/25.

Discussion: Full-thickness cornea lacerations and lacerations larger than 3 mm routinely necessitate surgical intervention in a sterile environment, while medical management is typically reserved for partial-thickness or small, self-sealing lacerations. Surgical repair of lacerations can lead to resultant astigmatic problems, even when performed in ideal conditions and, therefore, should be avoided when possible. Through careful examination and close follow-up, our patient with a large full-thickness laceration was successfully treated nonsurgically and able to avoid associated complications.

Conclusions: This report expands the literature of the appropriate management of cornea lacerations.

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