期刊文献+

鹰爪抓伤所致的巩膜和角膜裂伤伴虹膜脱出

Scleral and corneal laceration with iris prol-apse caused by an eagle claw
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摘要 Background: To describe the visual rehabilitation after surgical treatment of an ocular injury sustained during an attack by a bird of prey. Methods: A 51-ye ar-old woman who was attacked by an eagle in a cage had a laceration of cornea and sclera at 9 o’clock, an iris prolapse that was jammed into the scleral woun d, and a flat anterior chamber with hyphema. The uncorrected visual acuity was h and movements. Surgical treatment was performed immediately and included iris re positioning and suturing, scleral and conjunctival suturing, and transscleral cr yotherapy to the retina. Results: Eight months later, the best corrected visual acuity was 20/20. The anterior segment showed a posterior synechia in the area o f the iris repair and an almost round pupil; the crystalline lens showed only a localized opacification. Conclusions: Abird of prey, even though caged, can inju re an eye in humans. With immediate surgical treatment, good visual rehabilitation was achieved in this case. It s hould be reiterated that spectacles offer no protection against ocular trauma in these cases. Background: To describe the visual rehabilitation after surgical treatment of an ocular injury sustained during an attack by a bird of prey. Methods: A 51-ye ar-old woman who was attacked by an eagle in a cage had a laceration of cornea and sclera at 9 o'clock, an iris prolapse that was jammed into the scleral woun d, and a flat anterior chamber with hyphema. The uncorrected visual acuity was h and movements. Surgical treatment was performed immediately and included iris re positioning and suturing, scleral and conjunctival suturing, and transscleral cr yotherapy to the retina. Results: Eight months later, the best corrected visual acuity was 20/20. The anterior segment showed a posterior synechia in the area o f the iris repair and an almost round pupil; the crystalline lens showed only a localized opacification. Conclusions: Abird of prey, even though caged, can inju re an eye in humans. With immediate surgical treatment, good visual rehabilitation was achieved in this case. It s hould be reiterated that spectacles offer no protection against ocular trauma in these cases.
出处 《世界核心医学期刊文摘(眼科学分册)》 2005年第10期39-40,共2页 Digest of the World Core Medical Journals:Ophthalmology
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