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角膜外伤以上皮擦伤及穿通伤较多,角膜撕裂伤较少见,现报告一例:张×,男,8岁.以右眼外伤视力下降5天收住院,住院号61133.主诉5天前患者右眼被铲子碰伤,到当地医院缝合后视力逐渐下降.检查视力,右眼指数/30cm,左眼1.0,右眼睑浮肿,球结膜混合充血(+++),轻度水肿,角膜颞上方有一近“(?)”形缺损,面积约4×3mm~2,创面浑浊,角膜鼻下方有一近“(?)”形角膜瓣,高度水肿,呈水泡样,基底在角膜中央,用3—0黑线将角膜瓣分4针缝合于3～6点的角膜缘上,暴露面稍粗糙,角膜缘缝线有3针已撕脱,仅6点处一针固定,角膜瓣上翘.拆除原缝线,放大镜下发现角膜瓣与外上方上皮缺损处形状相似,角膜瓣原对合面更光滑,角膜缘未见创面.反转铺平角膜瓣发现角膜瓣的正确位置应在角膜外上方,随用10—0铲针缝线沿创面对合连续缝合角膜瓣,球结膜
Corneal trauma to epithelial abrasions and penetrating injuries more corneal laceration less common, are reported in an example: Zhang ×, male, 8 years old. To the right ocular trauma decreased vision for 5 days admitted to hospital, hospital number 61133. Chief complaint 5 days The right eye of the former patient was bruised by a shovel, and the visual acuity gradually decreased after suturing at a local hospital. The visual acuity was checked. The right eye index / 30 cm, left eye 1.0, right eyelid edema, conjunctival hyperemia (+++), mild edema, There is a nearly “(?)” Shaped defect in the superior temporal area, with an area of about 4 × 3mm ~ 2. The wound is cloudy and there is a near-shaped corneal flap beneath the cornea nasalis, which is highly edematous and blister- 3-0 black line The corneal flap 4 points stitched on the 3 to 6 points on the limbus, the exposed surface is slightly rough, the limbal stitches have 3 needle avulsion, only a fixed needle at 6:00, the corneal flap upturned .Removed the original suture, under the magnifying glass was found on the shape of the corneal flap and the outer epithelial defect at the same, the flap of the original flap smoother, no wound on the limbus.Reversion paving the corneal flap found the correct location of the corneal flap should be in the cornea Outside the top, with 10-0 shovel needle suture along the wound surface continuous corneal flap, conjunctiva