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角膜浅层异物包括毛发并不少见,但角膜深层,房角毛发较少见。我科经治一例,报告如下。 朱某某,男性,25岁,理发员。因左眼刺痛一个月于1989年6月27日入院。患者于一个月前常感左眼刺痛不适,用手擦眼,自购“消炎眼药水”滴眼后,病情无明显好转,来我院就诊。左眼无外伤史,右眼一年前因“外伤性白内障”曾在某院手术治疗。检查:VOS=1.2,VOD=0.02,矫正视力为:+11.00DS=0.6,左眼混合充血(++),角膜外侧周边部浅层有5根毛发,深层有4根毛发,其中有2根垂直刺入于前房角3点半处,排列不规则,每根约2~3mm长,毛发周围轻度浸润,荧光素染色点状着色,裂隙灯显微镜检查可见点状灰白色KP,房水闪辉现象(+); 瞳孔园,直径约3mm,对光反应存在;晶状体透明,眼底正常。右眼角膜未见毛发。入院诊断为左眼角膜房角异物(毛发),角膜炎,虹膜睫状体炎;右眼白内障术后。
Shallow corneal foreign bodies, including hair is not uncommon, but deep cornea, angle hair less common. My Branch by a rule, the report is as follows. Zhu Moumou, male, 25 years old, barber. She was hospitalized on June 27, 1989 because of a left-eye sting for one month. Patients often feel left a month ago tingling discomfort, wiping his eyes by hand, since the purchase of “anti-inflammatory eye drops” drops, no significant improvement in condition, to our hospital. No history of traumatic left eye, right eye a year ago because of “traumatic cataract” had surgery in a hospital. Check: VOS = 1.2, VOD = 0.02, corrected visual acuity was: +11.00DS = 0.6, mixed left eye congestion (++), the outer corneal peripheral shallow 5 hair, deep hair 4, of which 2 Vertically punctured into the anterior chamber angle 3:30, arranged irregularly, each about 2 ~ 3mm long, slightly infiltrating the hair, fluorescein staining punctate, microscopic examination of the slit lamp can be seen point-like gray KP, aqueous humor flash Hui phenomenon (+); pupil Park, about 3mm in diameter, the presence of light response; lens transparent, normal fundus. Right cornea no hair. Admission was diagnosed as left corneal anterior chamber foreign body (hair), keratitis, iridocyclitis; right eye after cataract surgery.