Lens içi yabancı cisim ve yönetimi
Küçük Resim Yok
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Kırk sekiz yaşında erkek hasta spiral ile metal keserken sol gözüne metal parçası geldiğini fark etmiş. Acil servise başvuran hastanın ilk muayenesinde sol gözde görme keskinliği 20/60 idi. Biomikroskopik muayenede sol kornea nazalinde parasantral alanda perforasyon hattı saptandı. Seidel testi negatif idi. Lens ön kapsülünün delinmiş olduğu ve yabancı cismin lens içine saplandığı görüldü. Arka kapsül intakt olarak izlendi. İlk 24 saatlik izlem sonucu inflamasyonun giderek artması ve lenste kesafet gelişmesi üzerine cerrahi planlandı. Yapılan yabancı cisim çıkarılması, lens aspirasyonu ve göz içi lens implantasyonu sonucu hastanın görmesi postoperatif 4. haftada 20/20 düzeyine ulaştı. Bu olgu sunumunda arka kapsülün sağlam kaldığı metalik lens içi yabancı cisim yaralanması olan hastanın tedavisi rapor edilmiştir.
A 48 year-old male noticed a foreign body in his left eye when he was cutting metal with spiral saw. On emergency room admission, visual acuity was 20/60 on left eye. On biomicroscopic examination, a paracentral corneal perforation on the nasal quadrant of the left eye was detected. Seidel test was negative. Anterior capsule of the lens had been perforated and foreign body had been embedded in the lens. Posterior capsule was intact. At the end of 24 hours of follow up, surgery was planned because of increased inflammation and lens opacification. Four weeks after foreign body removal, lens aspiration and intraocular lens implantation surgery, visual acuity improved to 20/20. In this case report, we aimed to report the treatment of a patient with metallic intralenticular foreign body injury who had intact posterior lens capsule.
A 48 year-old male noticed a foreign body in his left eye when he was cutting metal with spiral saw. On emergency room admission, visual acuity was 20/60 on left eye. On biomicroscopic examination, a paracentral corneal perforation on the nasal quadrant of the left eye was detected. Seidel test was negative. Anterior capsule of the lens had been perforated and foreign body had been embedded in the lens. Posterior capsule was intact. At the end of 24 hours of follow up, surgery was planned because of increased inflammation and lens opacification. Four weeks after foreign body removal, lens aspiration and intraocular lens implantation surgery, visual acuity improved to 20/20. In this case report, we aimed to report the treatment of a patient with metallic intralenticular foreign body injury who had intact posterior lens capsule.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları, Kornea Perforasyonu, Lens İçi Yabancı Cisim, Travmatik Katarakt
Kaynak
Glokom Katarakt
WoS Q Değeri
Scopus Q Değeri
Cilt
7
Sayı
2
