铁矿石致眼铁质沉着症1例  

A case of ocular siderosis caused by iron ore

作　　者：李晓琴 梁歌 黄一飞[1] Li Xiaoqin;Liang Ge;Huang Yifei(Ophthalmology Division of Chinese PLA General Hospital,Beijing 100039,China;Department of Ophthalmology,The PLA Rocket Force Characteristic Medical Center,Beijing 100032,China)

机构地区：[1]解放军总医院眼科医学部,北京100039 [2]火箭军特色医学中心眼科,北京100032

出　　处：《中华眼科杂志》2022年第9期715-716,共2页Chinese Journal of Ophthalmology

摘　　要：1例主诉为左眼被铁矿石崩伤后视力下降11个月患者就诊眼科。伤眼角膜菲薄膨隆,大量铁锈样物质沉积。眼眶CT示眼球内异物。玻璃体切除术中见锯齿缘附近金属薄片,玻璃体棕褐色混浊,视盘颜色白,眼底血管闭塞,周边视网膜萎缩变性,确诊为左眼铁质沉着症。A patient complained of vision loss of his left eye which was crushed by iron ore for 11 months.The cornea of the injured eye was thin and swollen,and a large amount of rust-like material was observed to be deposited.An intraocular foreign body was found by orbital CT.During vitrectomy,a piece of metal sheet was found near the ora serrate,and the intraocular structure was severely damaged,and characterized by vitreous brown turbidity,a white optic disc,occlusion of blood vessels in the fundus,and peripheral retinal atrophy with degeneration.The patient was diagnosed as ocular siderosis in the left eye.

关 键 词：眼异物 眼损伤 眼外科手术 铁 

分 类 号：R779.14[医药卫生—眼科]