内燃机车头灯照射后视网膜损伤一例

• 作 者: 葛荣如
• 机 构: 江西萍乡铁路医院眼科 337055
• 出 处: 眼外伤职业眼病杂志(附眼科手术)
• 发表日期: 1996年02期
• 关键词: 视网膜损伤 视网膜灼伤 头灯 中心凹 黄斑区 眼部检查 全身检查 地巴唑 结膜充血 药物治疗

患者,男,25岁.因调换内燃机车照明灯泡时被灯光照射双眼,瞬间即感双眼视力锐减,于1992年元月20日就诊.全身检查无异常.眼部检查,视力右0.06,左0.04.双眼球结膜充血(+),角膜透明,KP(-).瞳孔3mm,光反射灵敏.晶体及玻璃体无混浊、视乳头边界清,双眼黄斑区及周围视网膜均见明显水肿,中心凹反射不清、诊断:视网膜灼伤.经用地巴唑、烟酸、ATP、肌酐、强的松、维生素B_1、C等药物治疗半个月,双眼视力恢复1.5,眼底正常.随访2年无异常.

The patient, male, aged 25. Due to the exchange of diesel locomotive lighting bulb was shining eyes, the moment that binocular vision sharp reduction in January 20, 1992 treatment. No abnormalities in the whole body examination. Eye examination, visual acuity 0.06 right 0.04), conjunctival hyperemia (+), corneal transparency, KP (-). Pupil 3mm, sensitive to light reflection. Crystal and vitreous opacity, clear papilla border, macular area around the eyes and the surrounding clear retinal edema, Unclear, diagnosis: retinal burns by the use of methimazole, niacin, ATP, creatinine, prednisone, vitamin B_1, C and other drugs for half a month, binocular visual acuity 1.5, normal fundus.