未发现眼内金属异物的外伤性白内障病例1例报告

A case report of traumatic cataract without detection of intraocular metal foreign bodies

  • 摘要: 外伤性白内障在临床中较常见,通常非金属异物进入眼内,患者无眼内反应,只表现为外伤性白内障,而金属异物进入眼内易引起并发症。异物进入眼内可通过眼科检查发现,或行白内障手术找到异物。然而,临床中极少部分患者会出现漏诊。本文报告1例眼内金属异物消失的外伤性白内障病例(有眼部外伤异物进入眼内病史以及体征,但术前、术中、术后均未发现异物),并分析金属异物消失的原因。

     

    Abstract: Traumatic cataract is relatively common in clinical practice. Typically, non-metallic foreign bodies entering the eye do not cause intraocular reactions, manifesting only as traumatic cataract, while metal foreign bodies entering the eye are more likely to cause complications. Foreign bodies entering the eye can be detected through ophthalmic examination or found during cataract surgery. However, a very small number of patients may experience missed diagnosis in clinical practice. This article reported a case of traumatic cataract with disappearance of intraocular metal foreign body, presenting with a history and signs of ocular trauma and foreign body entry into the eye, but no foreign body was found before, during or after surgery. The reasons for the disappearance of the metal foreign body were also analyzed.

     

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