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眼内金属异物引起的葡萄膜炎,常具有如下特征:有明确的眼外伤史;受伤眼呈慢性虹睫炎症状;视力呈进行性下降;经激素、抗菌素治疗后仍常有反复发作,并可导致继发性青光眼及金属沉着症的出现。所以一般诊断多不困难。但如眼外伤史并不明确,异物滞留部位较隐蔽,或异物十分细小而又未直接通过角膜进入眼内者,往往容易被疏忽而发生漏诊或误诊,从而延误病情,导致眼球的毁坏。现把我院门诊连续遇到3例由于长期限部金属异物存留,误诊为慢性葡萄膜炎而致盲的病例报导如下:
Intraocular metal foreign body caused by uveitis, often has the following characteristics: a clear history of ocular trauma; injured eye showed symptoms of chronic rainbow eyelashes; visual acuity was decreased; by hormones, antibiotics are often repeated after treatment and Can lead to secondary glaucoma and metal appearing. So the general diagnosis is not difficult. However, if the history of ocular trauma is not clear, foreign body stasis more hidden parts, or foreign body is very small and not directly into the eye through the cornea are often easily overlooked or misdiagnosed, thus delaying the disease, resulting in the destruction of the eye. Now in our hospital out of three consecutive cases of metal foreign body retention due to long-term, misdiagnosed as chronic uveitis and blinding cases reported as follows: