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Abstract：
Ocular trauma occurring in children often leads to visual impairment or blindness when it is not properly managed. This often occurs in underdeveloped regions with difficult access to professional care at local health facilities. We report a case of post-trauma corneal staphyloma in an underdeveloped region of eastern Indonesia to illustrate the importance of proper management of ocular trauma in areas lacking such expertise and where patients have difficulty accessing even basic health care. During a community health outreach in Southwest Sumba, eastern Indonesia in May 2017, a 7-year-old boy presented with white protrusion of the left eye of 3 years\' duration following an event of sharp trauma. The patient lived in an inaccessible and impoverished area. Upon contemporary examination, visual acuity of the left eye was 1/300 while that of the right eye was 6/6. Anterior examination revealed corneal staphyloma of the left eye, and its posterior segment could not be evaluated. The patient was transported to an eye care center in Jakarta, receiving a stock prosthesis implant while awaiting a corneal evisceration procedure with dermofat graft. Ocular trauma is one of the most common causes of visual impairment in children. This case illustrates the consequences of inadequate post-trauma management and the importance of prevention of infection.
摘要：
在儿童中发生的眼外伤通常会导致视力障碍或失明，如果管理不当。这种情况经常发生在欠发达地区，很难在当地医疗机构获得专业护理。我们报告了印度尼西亚东部欠发达地区的一例创伤后角膜葡萄肿，以说明在缺乏此类专业知识且患者甚至难以获得基本医疗保健的地区，对眼外伤进行适当管理的重要性。在西南桑巴的社区卫生宣传活动中，2017年5月，印度尼西亚东部，一名7岁男孩在锐器外伤事件后出现3年的左眼白色突起。病人住在一个人迹罕至的贫困地区。经过当代检验，左眼视力为1/300，右眼视力为6/6。前路检查显示左眼角膜葡萄肿，和它的后段无法评估。病人被送往雅加达的眼科护理中心,在等待使用真皮脂肪移植的角膜内脏手术时接受原液假体植入物。眼外伤是儿童视力障碍的最常见原因之一。此案例说明了创伤后管理不当的后果以及预防感染的重要性。
