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2023年03月

引用 (2)
更新日期 2023/4/19 8:51:26
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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)
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