PDF(Pubmed)
Abstract：
We describe a case of globe rupture due to a forklift accident. A 64-year-old man presented to the ophthalmology hospital shortly after the jaws of a forklift struck his left eye. The left eye was shrunken with a full-thickness scleral laceration. B-scan ultrasonography revealed a hypotonic eyeball with antero-posterior shrinkage. We promptly performed scleral suturing to maintain the ocular shape. The patient\'s intraocular pressure improved to 7.1 mmHg, and visual acuity was limited to light perception. Despite this, intraocular hemorrhage in the anterior chamber persisted, and an electroretinogram demonstrated poor response to light. Subsequently, the patient underwent a vitrectomy with silicone oil tamponade to address the vitreous hemorrhage, proliferative membranes, and retinal detachment. However, proliferative vitreoretinopathy with tractional retinal detachment progressed postoperatively, resulting in the loss of light perception. Ocular trauma caused by forklifts accident is rare; however, the strong external forces they exert can cause severe and irreversible visual impairment. Therefore, it is necessary for forklift operators and other concerned individuals to exercise caution to prevent forklift-related ocular trauma. Moreover, ophthalmologists should be aware of the dangers of forklift-related ocular trauma and treatment and management of the same.
摘要：
我们描述了由于叉车事故而导致地球破裂的情况。一名64岁的男子在叉车的下巴撞到左眼后不久就被送往眼科医院。左眼因巩膜全层撕裂而缩小。B超检查显示眼球低渗，前后收缩。我们及时进行巩膜缝合以保持眼部形状。患者眼压改善至7.1mmHg，视敏度仅限于光线感知。尽管如此,前房内出血持续存在，视网膜电图显示对光的反应较差。随后，患者接受了用硅油填塞的玻璃体切除术以治疗玻璃体出血，增殖膜，和视网膜脱离.然而,增生性玻璃体视网膜病变伴牵引性视网膜脱离术后进展,导致光感的丧失。叉车事故造成的眼外伤是罕见的；然而，他们施加的强大外力会导致严重和不可逆转的视力障碍。因此,叉车操作员和其他有关人员有必要谨慎行事，以防止与叉车有关的眼外伤。此外，眼科医生应该意识到叉车相关眼外伤的危险以及同样的治疗和管理。
