Occult intraocular foreign body masquerading as panuveitis: inductively coupled mass spectrometry and electrophysiologic analysis.
Occult intraocular foreign body masquerading as panuveitis: inductively coupled mass spectrometry and electrophysiologic analysis.
复制标题
伪装成全葡萄膜炎的隐匿性眼内异物：电感耦合质谱和电生理分析。
DOI：
10.1007/s12348-011-0035-9
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发表时间：
2012
影响因子：
2.9
通讯作者：
Flaxel,ChristinaJoy
中科院分区：
文献类型：
--
作者：
Yeh,Steven;Ralle,Martina;Phan,IsabellaT;Francis,PeterJ;Rosenbaum,JamesT;Flaxel,ChristinaJoy
眼内异物残留（IOFB）可能很少表现为慢性葡萄膜炎，无论是孤立的前葡萄膜炎或后段炎症。重金属铜和铁可能导致急性和慢性炎症过程，导致严重炎症、视网膜变性和视力丧失。在大多数情况下，穿透性或穿孔性眼损伤很容易识别;然而，由于可能导致严重的视力障碍，因此需要高度怀疑才能识别隐匿性穿透性损伤。我们描述了一个不寻常的情况下，保留IOFB，提出了6个月后，可能隐藏的穿透性损伤金属IOFB创伤。患者在对侧眼的表现和视网膜发现上的炎症的严重程度促使进一步的诊断测试，包括IOFB的电感耦合质谱和电生理测试。这种罕见的临床情况下，实验室检查结果和治疗的考虑。
Retained intraocular foreign bodies (IOFB) may rarely present as chronic uveitis, either with isolated anterior uveitis or with posterior segment inflammation. The heavy metals copper and iron may lead to both acute and chronic inflammatory processes resulting in severe inflammation, retinal degeneration, and resultant visual loss. Penetrating or perforating ocular injuries are easily recognizable in the majority of cases; however, a high index of suspicion is necessary to recognize an occult penetrating injury because of the severe visual impairment that can ensue. We describe an unusual case of a retained IOFB, which presented 6 months after a probable occult penetrating injury from metallic IOFB trauma. The severity of the patient's inflammation on presentation and retinal findings in the contralateral eye prompted further diagnostic testing including inductively coupled mass spectrometry of the IOFB and electrophysiologic testing. This rare clinical scenario, laboratory findings, and therapeutic considerations are presented.