2023年03月
引用 (2)
2023/4/19 8:51:26
129
Case 1 – 112/02/24
Age: 36 y/o Gender: male
Mechanism: 工作時左眼被鐵釘打到
VA: CF/30cm IOP: not detected
Cornea: 2.5mm sclera full thickness penetrating wound 0.5mm away from limbus at 9 o'c OS
A-C: deep / 2 mm hyphema, OS
Lens: Clear OS
Fundus: invisible OS
OP finding: 2.5mm sclera full thickness penetrating wound 0.5mm away from limbus at 9 o'c OS
- hyphema
Intra-OP fundus: attached, no break,no RD, OS
OP: scleral wound repair + AC irrigation+ IVI abx
POST-OP : -> sclera wound no leakage
-> IOP:10~14mmHg
112/03/27 (around 1 month post op) -> VA_ OS:0.4
->fundus: attached, no break,no RD, OS
open globe injury: type: penetration zone: II (limbus to 5 mm posterior into sclera) OTS: 3 (80)
Case 2 – 111/03/16
Age: 82 y/o Gender: female
Mechanism: 左眼點眼藥水戳到
OPH hx:
maculopathy OU, baseline OS VA nearly blindness
glaucoma OU
pseudophakia OU
f/u at 大千H
VA: NLP IOP: N/K.
Case 3 – 112/03/09
Age: 70 y/o Gender: female
Mechanism: 112/02/22 車禍後左眼視力模糊
VA: 0.2 IOP: 10 mmHg
Cornea: iris prolapsed from previous corneal phaco wound at 9 o'c OS
A-C: deep / cell++, OS
Lens: IOL OS
Fundus: attacehd OS
OP finding: - iris prolapsed from previous corneal phaco wound at 9 o'c OS
OP: cornea wound repair + AC irrigation+ IVI abx
open globe injury type: rupture zone: I OTS: 3 (67)
Case 4 – 112/03/16
Age: 64 y/o Gender: male
Mechanism: 112/03/16 車禍(開車撞到前車後, 再擦撞分隔島) 左眼撞擊
2023/03/18 OP finding:
Cornea: s/p PK, graft clear but dislocation (residual suture over nasal lower) OS
lens, uveal tissue, blood clot protruding from cornea wound, previous graft 5 intact stich on it
open globe injury type: rupture zone: I OTS: 1 (37)
Age: 36 y/o Gender: male
Mechanism: 工作時左眼被鐵釘打到
VA: CF/30cm IOP: not detected
Cornea: 2.5mm sclera full thickness penetrating wound 0.5mm away from limbus at 9 o'c OS
A-C: deep / 2 mm hyphema, OS
Lens: Clear OS
Fundus: invisible OS
OP finding: 2.5mm sclera full thickness penetrating wound 0.5mm away from limbus at 9 o'c OS
- hyphema
Intra-OP fundus: attached, no break,no RD, OS
OP: scleral wound repair + AC irrigation+ IVI abx
POST-OP : -> sclera wound no leakage
-> IOP:10~14mmHg
112/03/27 (around 1 month post op) -> VA_ OS:0.4
->fundus: attached, no break,no RD, OS
open globe injury: type: penetration zone: II (limbus to 5 mm posterior into sclera) OTS: 3 (80)
Case 2 – 111/03/16
Age: 82 y/o Gender: female
Mechanism: 左眼點眼藥水戳到
OPH hx:
maculopathy OU, baseline OS VA nearly blindness
glaucoma OU
pseudophakia OU
f/u at 大千H
VA: NLP IOP: N/K.
Case 3 – 112/03/09
Age: 70 y/o Gender: female
Mechanism: 112/02/22 車禍後左眼視力模糊
VA: 0.2 IOP: 10 mmHg
Cornea: iris prolapsed from previous corneal phaco wound at 9 o'c OS
A-C: deep / cell++, OS
Lens: IOL OS
Fundus: attacehd OS
OP finding: - iris prolapsed from previous corneal phaco wound at 9 o'c OS
OP: cornea wound repair + AC irrigation+ IVI abx
open globe injury type: rupture zone: I OTS: 3 (67)
Case 4 – 112/03/16
Age: 64 y/o Gender: male
Mechanism: 112/03/16 車禍(開車撞到前車後, 再擦撞分隔島) 左眼撞擊
2023/03/18 OP finding:
Cornea: s/p PK, graft clear but dislocation (residual suture over nasal lower) OS
lens, uveal tissue, blood clot protruding from cornea wound, previous graft 5 intact stich on it
open globe injury type: rupture zone: I OTS: 1 (37)