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对视力较好的晶体内磁性异物是否早期手术,目前尚有争议.我们报告1例,术后7年视力仍正常,现报告如下.患者男,17岁,因右眼被铁屑击伤5天于1985年12月26日入院.检查视力,右眼0.2,左眼1.0.,右混合充血,角膜下半部弥漫水肿,4点钟角膜缘内有一长约2.5mm穿通伤口.对合整齐.前房深度正常,房水闪光(+),散瞳下见晶体前囊中央2mm线形闭合伤口,周围轻度局限浑浊.晶体后囊中央部嵌置一长条形金属异物,异物周围后囊呈菊花瓣样浑浊.晶体前后囊伤口间可见异物穿行浑浊道.眼底正常.诊断:右眼角膜穿通伤、晶体内金属异物、外伤性白内障.入院次日局麻下行右眼晶体内金属异物磁吸摘出术.于5点钟
Right visual acuity of intracrystalline magnetic foreign body whether the early surgery, there are controversial.We report 1 case, 7 years after the vision is still normal, are as follows.Patient male, 17 years old, because the right eye was scrap iron 5 Day was admitted on December 26, 1985. Visual acuity, right eye 0.2, left eye 1.0., Right mixed congestion, diffuse edema of the lower half of the cornea, limbal limbus at 4 o’clock there is a length of about 2.5mm through the wound. .Anterior chamber depth normal, room water flash (+), mydriasis see the front of the crystalline lens 2mm linear closed wound, surrounded by mild local turbidity.Crystal posterior capsule in the central part of a long strip of metal foreign body, foreign body around the posterior capsule Was chrysanthemum petal-like turbid crystals before and after the capsule between the visible foreign body through the turbid tract foreign body normal fundus diagnosis diagnosis: the right corneal penetrating injury, intracrystalline metallic foreign body, traumatic cataract hospitalized the next day local anesthesia right intraocular lens foreign body magnetic Absorption surgery at 5 o’clock