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作者报告1例外伤性巩膜囊肿。患者男,38岁。左眼被刀致伤。检查发现在角巩缘7点钟处有一向后延伸5mm的巩膜穿透性伤口。眼内前段正常,但有玻璃体出血。患眼视力0.04,右眼正常。在手术显微镜下,用8-0丝线缝合巩膜伤口,用6-0丝线缝合球结膜。术后并发了虹膜炎。3周后玻璃体出血部分吸收。病人出院时,视力为0.15,以后未能随访。4年后,因眼痛和失明再次就诊。检查发现左眼视力无光感,眼压60mmHg,裂隙灯检查发现大泡性角膜病变、角膜新生血管形成,瞳孔膜闭和白内障。从7到11点钟处有一8×7mm高隆起
The authors report a case of traumatic scleral cyst. Male patient, 38 years old. Left eye was knife-injured. Examination revealed a scleral penetrating wound extending 5 mm posteriorly at 7 o’clock in the corner margin. Anterior segment normal, but there is vitreous hemorrhage. Eyesight 0.04, normal right eye. Under the surgical microscope, scleral wounds were sutured with 8-0 silk suture and the conjunctiva was sutured with 6-0 silk suture. Postoperative iris inflammation. Vitreous hemorrhage partially absorbed after 3 weeks. The patient was discharged at a visual acuity of 0.15 and later failed to follow up. Four years later, he was seen again because of eye pain and blindness. Examination found no visual acuity left eye vision, intraocular pressure 60mmHg, slit lamp examination found bullous keratopathy, corneal neovascularization, pupil membrane closure and cataracts. From 7 to 11 o’clock there is a 8 × 7mm high uplift