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患者男,19岁,学生,因右眼拳击伤后视物不清1小时就诊.视力无光感,上方球结膜高度水肿,结膜下出血,前房积血,眼压低T_(-2),考虑为眼球破裂伤,立即切开球结膜探查到巩膜创口,自鼻侧近角膜缘处向上,向颞侧继而延至后极部,玻璃体脱出,晶状体脱入玻璃体内.眼球破裂创口大,组织脱出多,应眼球摘除,但考虑组织脱出时间短,无污染,我们给予认真细致准确地显微缝合术,术中捞出脱位的晶状体,切除脱出玻璃体,术后全身及局部应用抗生素和皮质类固醇,至今未发生交感性眼炎和眼球萎缩,视力光感.
Male, 19 years old, student, due to right eye boxing injury 1 hour after the diagnosis of visual acuity. No visual acuity, the top of the conjunctiva highly edema, subconjunctival hemorrhage, hyphema, low intraocular pressure T _ (-2), Consider the eyeball rupture, immediately cut the conjunctiva to scleral wound exploration, from the nasal near the limbal up, to the temporal side and then extended to the posterior pole, vitreous prolapse, lens detachment into the vitreous .Open eyeball fracture, tissue prolapse And should be enucleated, but consider the tissue prolapse time is short, non-polluting, we give a careful and meticulous micro-suture, intraoperative removal of dislocation of the lens, removal of prolapse vitreous, postoperative systemic and topical antibiotics and corticosteroids, So far no sympathetic ophthalmia and eye atrophy, light perception of vision.