PDF(Pubmed)
Abstract：
Purpose: To present the case of a patient with a history of trauma and corneal foreign body in the right eye, followed by decreased visual acuity in the right eye, corneal perforation with good recovery after surgical treatment. Material and method: We report a case of a patient who presented to our clinic with a sudden decrease of visual acuity in the right eye, two months after an incident resulting in a corneal foreign body in the right eye. In the case presented, the patient applied a local medical self-treatment, an antibiotic and a topical corticosteroid. After a few weeks, the patient presented to the ophthalmologist, a foreign body was extracted from the cornea of the right eye and a topical treatment with a non-steroidal anti-inflammatory drug, a cycloplegic and an antibiotic were indicated. However, corneal perforation occurred and the patient was urgently sent to our service, where a corneal anaesthesia was also found. Results: Corneal perforation healed with a minor paracentral opacification. Discussions: Corneal perforation in our patient was due to corneal melting because of topical steroid anti-inflammatory autotherapy, late corneal foreign body extraction and topical treatment with non-steroidal anti-inflammatory drugs. Corneal anesthesia is also an important factor that enhances corneal melting and perforation. The surgical intervention performed healed the corneal perforation. Conclusions: Corneal anaesthesia and topical anti-inflammatory administration led to corneal perforation. Corneal sensitivity should be tested in patients with corneal foreign body. Corneal patching proved to be an adequate solution in this patient.
摘要：
目的：介绍右眼有外伤和角膜异物史的患者的病例，接着右眼视力下降,角膜穿孔手术治疗后恢复良好。材料和方法：我们报告了一例患者到我们的诊所就诊，右眼视力突然下降，事件导致右眼角膜异物两个月后。在这个案例中,患者进行了局部医疗自我治疗，抗生素和外用皮质类固醇.几周后,病人被送到眼科医生面前，从右眼角膜取出异物，用非甾体抗炎药局部治疗，显示了睫状肌麻痹药和抗生素。然而,发生角膜穿孔，患者被紧急送往我们的服务，还发现了角膜麻醉。结果：角膜穿孔愈合，轻度中央旁混浊。讨论：我们患者的角膜穿孔是由于局部类固醇抗炎自体治疗导致的角膜融化，晚期角膜异物取出和非甾体抗炎药的局部治疗。角膜麻醉也是增强角膜熔化和穿孔的重要因素。进行的手术干预治愈了角膜穿孔。结论：角膜麻醉和局部抗炎给药导致角膜穿孔。角膜异物患者应进行角膜敏感性测试。角膜修补被证明是该患者的适当解决方案。
