患者男,29岁,工人,住院号113935。于1984年3月22日,工作时不慎铁屑飞入左眼,3天后左眼发红、畏光、流泪,曾在当地医院治疗,病情时好时坏,于同年8月20日入我院治疗。眼部检查:视力右1.5,左指数/20cm,左眼睑轻度红肿,眼球混合性充血中度,角膜弥漫性轻浊肿,角膜后大量棕色粉末状KP,于3时处角膜缘见全层创口之瘢痕;前房水混浊明显,前房下方积脓,脓液平面约0.5mm;虹膜纹理不清,2时处周边虹膜有1极小之孔洞,瞳孔药物性散大;晶体前囊有淡棕色之渗出机化膜,未见晶体破口及局限性皮质混浊,后囊呈棕黄色混浊;彻照下玻璃体混浊较明显,眼底难以窥清。X线异物定位片示,左眼球内12时处可见针尖大小之金属异物1枚。B型超声波报告:于晶体后上方可见一约1mm之强回声光点。入院后全身及眼部给足量抗生素和皮质类固醇。一周 Patient male, 29 years old, worker, hospital number 113935. In March 22, 1984, work accidentally iron filings into the left eye, 3 days after the left eye redness, photophobia, tearing, had a local hospital treatment, the condition of good and bad, in the same year on August 20 into Our hospital treatment. Eye examination: visual acuity 1.5, left index / 20cm, left eyelid mild redness, moderate mixed hyperemia, corneal diffuse mild turbidity, a large number of corneal brown powder KP, at 3:00 at the limbal see full-thickness Wound scar; anterior chamber water turbidity obvious empyema below the anterior pus, pus plane about 0.5mm; iris texture is unclear, at 2:00 around the iris has a very small hole, the pupil drug bulk; the anterior capsule Pale brown exuding machine film, no crystal break and limitations of cortical opacities, posterior capsule was brownish yellow turbid; under the clear vitreous opacity more obvious, hard to see the fundus. X-ray foreign body positioning film shows that the left eye at 12 o’clock when the tip of the size of the metal foreign body can be seen one. B-mode ultrasound report: after the crystal can be seen above a strong echo of about 1mm light spot. Whole body and eye after admission to give adequate antibiotics and corticosteroids. A week