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韩某,男,36岁,农民。患者右眼被树枝戤伤1月余,出血、疼痛。在当地医院治疗未愈,疼痛,畏光、流泪、视力下降。门诊拟右眼巩膜穿通伤收住院。眼部检查:右跟视力0.6,左眼0.9。右眼睑痉挛,混合性充血(++),颞侧球结膜充血尤甚。距角膜缘约4mm处,结膜破溃、糜烂,稍隆起,隐约透见灰黑色组织。KP(+),房闪(+),虹膜未见明显异常,瞳孔等大,圆整,晶体透明,眼底(-)。左眼外眼及眼底未见异常。在行右眼球清创探查术时见病灶球结膜组织肿胀、松脆。剪开后见其下方巩膜组织糜烂、坏死,剥离并剪除后,暴露出约6×6mm大小近正圆形巩膜缺损区,色素膜暴露,表面有一薄层肉芽组织复盖,触之易出血。因缺损区较
Han, male, 36 years old, farmer. The patient’s right eye was stab wounds more than 1 month, bleeding, pain. In the local hospital healed, pain, photophobia, tearing, decreased vision. Out-patient to the right eye scleral penetration injury admitted to hospital. Eye examination: right with visual acuity 0.6, left eye 0.9. Right blepharospasm, mixed congestion (++), temporal conjunctival hyperemia especially. About 4mm away from the limbus, conjunctival ulceration, erosion, slightly elevated, faintly see gray-black tissue. KP (+), room flash (+), no obvious iris abnormalities, pupils and other large, round, transparent crystal, fundus (-). Left eye outside the eyes and fundus no exception. In the right eye debridement exploration surgery to see the lesion conjunctival tissue swelling, crisp. After sclerosis see scleral tissue erosion, necrosis, stripping and removal, the approximate size of 6 × 6mm revealed a round scleral defect area, pigmented film exposed, the surface of a thin layer of granulation tissue covering, easy to touch the bleeding. Due to the defect area