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眼外伤中以眼内异物最为重要,若误、漏诊不仅会引起眼内炎和眼铁锈症等并发症,还可发生交感性眼炎,危及健眼的视功能。本文报导一组由于眼内金属异物长期存留被漏诊或误诊为慢性葡萄膜炎而致盲的病例。临床资料本组男性4例,女性2例。年龄21～40岁,均为工人。伤后视力:无光感2例,光感1例,眼前手动2例,0.061例。异物存留巩膜上2例,玻璃体中3例,晶状体中1例。异物存留时间最长的为15年,最短为1个月。本组误诊为葡萄膜炎4例,外伤性白内障1
Ocular trauma in the most important intraocular foreign body, if the error, missed diagnosis will not only cause endophthalmitis and eye rust and other complications, but also the occurrence of sympathetic ophthalmia, endanger the health of visual function. This article reports a group of cases of blinding due to missed or long-term misdiagnosis of chronic uveitis due to persistent intraocular metal foreign bodies. Clinical data of this group of 4 males and 2 females. Age 21 to 40 years old, are workers. Visual acuity after injury: no light perception in 2 cases, light perception in 1 case, immediate manual in 2 cases, 0.061 cases. Foreign body retention scleral in 2 cases, vitreous in 3 cases, 1 case of lens. The longest foreign body retention of 15 years, the shortest for 1 month. This group misdiagnosed as uveitis in 4 cases, traumatic cataract 1