1 临床资料王×,男,25岁,驾驶员。1989年4月5日初诊。右眼被车轮碎铁击伤2天。检查:右眼光感,混合充血,角膜11时位穿孔,虹膜嵌顿,晶状体混浊、膨胀,内眼不能检查,眼压指压Tn。X光球内物定位(罗秉相法):眼球子午线7时位,距角巩膜缘8mm、距中轴3mm处见一金属异物。4月7日在局麻下手术,切开球结膜,相当于异物处作巩膜外试吸,黑点试验阳性,作板层巩膜瓣,预置缝线,切透巩膜与脉络膜,用磁铁将异 1 clinical data Wang ×, male, 25 years old, driver. April 5, 1989 newly diagnosed. The right eye was hit by a wheel broken iron 2 days. Check: Light perception of the right eye, mixed congestion, perforation of the cornea 11, iris incarceration, lens opacity, swelling, the eye can not be checked, intraocular pressure refers to pressure Tn. X-ray ball object positioning (Luo Bing phase method): eye meridian 7 o’clock position, 8mm angle from the scleral margin, 3mm away from the center to see a metal foreign body. April 7 surgery under local anesthesia, cut the ball conjunctiva, foreign body equivalent to scleral test suction, black spot test positive for the scleral flap lashes, sutures, cut through the sclera and choroid with a magnet different