Intraoperative choroidal detachment occurring in a case of perforating ocular injury.
Intraoperative choroidal detachment occurring in a case of perforating ocular injury.
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眼部穿孔损伤导致术中脉络膜脱离。
DOI：
10.1016/j.ajoc.2020.100643
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发表时间：
2020
影响因子：
--
通讯作者：
Nakazawa M
中科院分区：
文献类型：
--
作者：
Suzuki Y;Suzuki K;Tanabu R;Maeda N;Nakazawa M
目的探讨平衡盐溶液（BSS）从眼外伤出口渗漏引起术中脉络膜脱离的病例。患者是一名22岁的男性，他在工作中被一根电线划伤了左眼。在巩膜伤口闭合后开始玻璃体切除术，但由于BSS渗漏进入视网膜下和脉络膜上间隙，导致玻璃体腔变窄，我们对该患者穿孔性眼损伤的认识较慢，手术无法继续进行。在玻璃体腔内进行液体-空气交换和空气-硅油交换以完成初始手术。三周后，再次手术取出硅油并将人工晶状体植入囊内。目前，第二次手术后1年5个月，矫正视力为20/50。结论和重要性我们的研究结果表明，术中BSS可通过出口伤口渗漏到视网膜下和脉络膜上间隙。
PurposeTo describe an intraoperative choroidal detachment due to balanced salt solution (BSS) leakage through the exit wound in a case with perforating ocular injury.ObservationsThe patient was a 22-year-old man who suffered from a left eye injury caused by a piece of wire during work. Vitrectomy was started after closure of the scleral wound, but surgical procedure could not be continued, as BSS leakage occurred into the subretinal and supra-choroidal spaces, resulting in a narrowed vitreous cavity, as we were slow to recognize the presence of the perforating ocular injury in this patient. Fluid-air exchange and air-silicone oil exchange in the vitreous cavity were performed to finish the initial surgery. Three weeks later, the reoperation was performed to remove silicone oil and insert an intraocular lens into the bag. Presently, 1 year 5 months following the second surgery, corrected visual acuity is 20/50.Conclusions and ImportanceOur findings indicate that BSS can leak through the exit wound into the subretinal and supra-choroidal spaces intraoperatively in a case of perforating ocular injury.