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頁籤選單縮合
題名 | Occult Plastic Intravitreal Foreign Body Retained for 30 Years: A Case Report=玻璃體內塑膠異物潛在三十年--病例報告 |
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作者 | 林憲忠; 王惠珠; 賴昱宏; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 22:10 民95.10 |
頁次 | 頁529-533 |
分類號 | 416.745 |
關鍵詞 | 玻璃體內塑膠異物; 創傷; Plastic intravitreal foreign body; Trauma; |
語文 | 英文(English) |
中文摘要 | 一位於 30 年前右眼受過創傷之 41 歲男性,在 1996 年 3 月因右眼開放性青光眼接受右眼青光眼小樑切除及周邊虹膜切除術。之前右眼的自動視野檢查顯示出視野縮小,且視神經杯/視神經盤的比例變大。在 2002 年 9 月追蹤時發現右眼白內障並於同年 10 月 22 日接受白內障摘除手術。然而,術中水晶體移除後即發現一眼內塑膠異物。術前之超音波並未發現此異物,且眼底螢光攝影只顯示出有視網膜色素上皮細胞之變化。這個病例提醒我們:當病患有創傷病史時,即使影像學檢查正常也應懷疑有眼內異物的存在。 |
英文摘要 | A 41-year-old man had suffered trauma to the right eye 30 years ago. In March 1996, he underwent trabeculectomy and peripheral iridectomy under the diagnosis of open angle glaucoma in the right eye. Autoperimetry at that time revealed visual field constriction. In addition, ocular examination showed that the cup/disc ratio of his right eye was increased. Cataract was diagnosed in September 2002 and cataract extraction was performed on October 22, 2002. Aplastic intravitreal foreign body was detected during the operation. However, preoperative B-scan ultrasonography had failed to detect an intraocular foreign body (IOFB), and the previous fluorescein angiography had shown only retinal pigment epithelium changes. This case reminded us that we should be alert to an occult IOFB in the event of ocular trauma, even if none had been detected during prior imaging examinations. |
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