介绍1例眼穿通伤数月后发展为晶体内脓肿。患者因切削金属时碎屑崩入右眼,导致5点近角膜缘处巩膜有一小的穿通伤,伤口和前房各有一根睫毛。当日手术,仅将巩膜创口的睫毛取出,但未取出前房内睫毛,以避免进一步损伤眼球。3个月后出现晶体内脓肿,遂行晶体囊外摘出术。吸出的混浊物察见大量革兰氏阳性杆菌,偶见多形性细胞。血和琼脂厌氧培养为痤疮丙酸杆菌,对先锋霉素Ⅰ和庆大霉素等敏感。治疗数周后,眼内炎症减轻,但发 1 case of penetrating eye injury developed within a few months after the intracranial abscess. When the patient collapsed into the right eye due to the cutting of metal, the sclera at the 5-point near the corneal margin had a small penetrating wound and one eyelash per wound and anterior chamber. The day of surgery, only the sclera wound lashes removed, but did not remove the anterior chamber eyelashes, to avoid further damage to the eye. Three months after the intrauterine abscess, the implementation of extracapsular lens extraction. Aspiration of opacity observed a large number of gram-positive bacilli, occasionally pleomorphic cells. Blood and agar were anaerobically cultured as Propionibacterium acnes and were sensitive to cephalosporin Ⅰ and gentamicin. A few weeks after treatment, the inflammation in the eye is relieved, but the hair