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題名:DENSE CORNEAL BLOOD STAINING AND ITS HISTOPATHOLOGICAL CHARACTERISTICS--A CASE REPORT     (12點)
血染角膜之病例報告及病理組織染色特徵
著者:Yi-Chieh Poon(潘怡潔) ;Ming-Tse Kuo(郭明澤) ;Hun-Ju Yu(余涵如) ;Po-Chiung Fang(方博炯)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:corneal blood stain ; hyphema ; histopathology
刊名:中華民國眼科醫學會雜誌
卷期:50卷2期(2011.12)
頁碼:333-338
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一個眼球穿刺傷後前房積血引發之嚴重角膜血染的臨床病程和病理組織特徵。 方法:病例報告。 結果:一名35歲男子因左眼穿刺傷導致前房積血和角鞏膜裂傷後出現嚴重的角膜染色及在視軸上的的角膜疤痕。半年後,因為角膜疤痕及濃染的角膜染血,病人接受了角膜移植手術,將病態的角膜移除。病人的角膜組織病理切片表現了大量色素沉積分散在角膜間質的前2/3。角膜間質的後1/3則無色素沉積,突顯出角膜血染清除的過程是由後角膜開始。病人角膜移植術後的視力從有光感進步到0.2。病人於角膜移植六個月後接受白內障摘除併人工水晶體植入手術。術後一年追蹤其角膜移植片仍維持清澈透明,裸視視力為0.3,最佳矯正視力可達0.8。 結論:此病例突顯出角膜染血的病理特徵及手術治療。儘管角膜血液染色可以自發性的吸收,在較嚴重的染色下,可能需要進行角膜移植術來恢復視力及進行詳細的眼底檢查。
Purpose: To report the clinical course and the histopathological features of a case of severe corneal blood staining secondary to a penetrating eye injury. Material and Methods: A case report. Results: A 35-year-old man presented to our clinic with dense corneal blood staining in his left eye. The staining developed after a penetrating metal wire injury, which resulted in hyphema and a corneoscleral laceration in his left eye. Six months after the injury, penetrating keratoplasty was performed because of the presence of a large corneal scar and the persistently dense corneal blood staining. Histopathological examination of the removed corneal button showed pigmentary deposits dispersed within the Bowman layer to the anterior 2/3 of stroma. The posterior stroma was free of deposits. After performing penetrating keratoplasty, his visual acuity improved from only light perception to 0.2. Cataract surgery was performed 6 months after penetrating keratoplasty. After more than one year of follow-up, the corneal graft remained clear. The patient's uncorrected visual acuity was 0.3, and the best-corrected visual acuity was 0.8. Conclusion: Our case highlights the histopathological features of corneal blood staining and its surgical management. Even though this condition can resolve spontaneously, penetrating keratoplasty may be necessary for restoring vision in severe cases, and facilitating detailed intraocular examinations.


    

本卷期目次
中華民國眼科醫學會雜誌 50卷2期 (2011.12)
淚囊鼻淚管疾病/ 林素玲
隔膜前蜂窩性組織炎及眼窩蜂窩性組織炎/ 畢勇賢謝嫣文
甲狀腺眼病變的內科治療/ 陳雅琪張丞賢
甲狀腺突眼治療新觀念/ 廖述朗
成人淚囊炎之致病菌與藥物敏感性/ 朱書緯張丞賢
抗血管內皮生長因子於青光眼手術之運用/ 吳秀琛
ADVANCED SURGERY AND OCULAR SURFACE RECONSTRUCTION FOR CORNEAL INJURY/ Lung-Kun YehYeong-Fong ChenDavid HK Ma
TOMOGRAPHIC CHANGES IN DIABETIC MACULAR EDEMA MANAGED BY INTRAVITREAL BEVACIZUMAB WITH OR WITHOUT POSTERIOR SUBTENON INJECTION OF TRIAMCINOLONE/ Jia-Kang Wang
SHORT-TERM RESPONSE OF DIABETIC MACULAR EDEMA TO INTRAVITREAL BEVACIZUMAB: AN OPTICAL COHERENCE TOMOGRAPHIC PATTERNS ANALYSIS/ Jia-Kang Wang
AHMED VALVE IMPLANTATION IN THE CILIARY SULCUS IN A PATIENT WHO HAD PREVIOUSLY UNDERGONE PENETRATING KERATOPLASTY/ Shu-I PaoDa-Wen LuMing-Cheng TaiYi-Hao ChenKe-Hung Chien
ANTI-CD 20 ANTIBODY AS INITIAL TREATMENT FOR PRIMARY CONJUNCTIVAL MUCOSA-ASSOCIATED LYMPHOID TISSUE LYMPHOMA/ Chang-Lin ChenSheng-Fung LinCheng-Hsien ChangYa-Chi Chen
ACUTE VISION LOSS AS THE INITIAL PRESENTING FEATURE OF ACUTE MYELOID LEUKEMIA IN A YOUNG MAN/ Meng-Wei HsiehKe-Hung ChienYun-Hsiang ChangJiann-Torng ChenDa-Wen Lu
TRAN-SCLERAL FIXED INTRAOCULAR LENS DISLOCATION PRESUMABLY CAUSED BY A ROLLER-COASTER RIDE/ Pei-Tzu KuanHung-Yu LinShih-Chun Chao
CLINICAL AND CONFOCAL MICROSCOPY FINDINGS OF FUNGAL KERATITIS CAUSED BY ZYGOMYCOTA: A CASE REPORT/ Wen-Hong HoMing-Cheng TaiJiann-Torng Chen
WOUND INFECTION BY MYCOBACTERIUM FORTUITUM AFTER CLEAR-CORNEA CATARACT SURGERY--A CASE REPORT/ Li-Ying ChienHui-Chuan ZhengZong-Xue LiuWei-Chun Chan
STAPHYLOCOCCUS AUREUS INFECTIOUS SCLERITIS WITH UNKNOWN CAUSE: A CASE REPORT/ Chih-Chien HsuPei-Yu LinYu-Mei ChangShui-Mei Lee
ATYPICAL CASE OF TRICHILEMMAL CARCINOMA OF THE EYELID/ Ying-Hsuen WuChun-Chi ChiangYi-Yu Tsai
DENSE CORNEAL BLOOD STAINING AND ITS HISTOPATHOLOGICAL CHARACTERISTICS--A CASE REPORT/ Yi-Chieh PoonMing-Tse KuoHun-Ju YuPo-Chiung Fang
ACUTE ANGLE-CLOSURE ATTACK ASSOCIATED WITH TRAVOPROST INDUCED UVEAL EFFUSION IN A NANOPHTHALMIC EYE--A CASE REPORT/ Yu-Hsuan HuangTing-Yu WuTsing-Hong WangJehn-Yu Huang
偏頭痛患者使用Topiramate引起兩眼急性隅角閉鎖型青光眼及急性近視性變化-病例報告/ 林志忠曾柏宸陳純貞翁林仲劉秀雯
INTRAVITREAL BEVACIZUMAB (AVASTIN) INJECTION-INDUCED RAPID RESOLUTION OF SEVERE HYPERTENSIVE RETINOPATHY IN A PATIENT WITH CHRONIC RENAL DISEASE: A CASE REPORT/ Ren-Wen HoChih-Hsin Chen
CAVITARY CHANGES IN RETINOBLASTOMA AFTER CHEMOTHERAPY--A CASE REPORT/ Chang-Yu LuLing-Yuh Kao
VITRECTOMY WITH INTERNAL LIMITING MEMBRANE PEELING FOR HIGHLY MYOPIC FOVEOSCHISIS/ Li-Feng ChiangChing-Yao TsaiLin-Chung WoungYen-Jui Chang
ACUTE INTRAOCULAR PRESSURE ELEVATION ATTACK FOLLOWING A 2.5 MG DOSAGE OF INTRAVITREAL INJECTION OF BEVACIZUMAB (AVASTIN): A CASE REPORT./ Pei-Kang LiuJong-Jer LeeIng-Chou LaiChih-Hsin Chen
CILIORETINAL ARTERY OCCLUSION COMBINED WITH NON-ISCHEMIC CENTRAL RETINAL VEIN OCCLUSION IN A YOUNG MAN WITH HYPERHOMOCYSTEINEMIA/ Sung-Ying HuangWei-Chun ChanLee-Jen Chen
PRESUMED OCULAR TUBERCULOSIS PRESENTING AS RETINAL OCCLUSIVE VASCULITIS--REPORT OF THREE CASES/ Chun-Fu LiuLing YeungYu-Chih LiuYih-Shiou Hwang
CENTRAL RETINAL ARTERY OCCLUSION BY ORBITAL PSEUDOTUMOR--A CASE REPORT/ Lien-Sheng LeeChun-Chen ChenChih-Chung LinHao-Chen ChangShiow-Wen Liou
INTRAVITREAL INJECTION OF BEVACIZUMAB AND FOCAL LASER PHOTOCOAGULATION FOR CHOROIDAL METASTATIC TUMORS--A CASE REPORT/ Yu-Fang HsuWen-Chiuan Wu
BILATERAL ORBITAL DIFFUSE LARGE B-CELL LYMPHOMA--A CASE REPORT/ Shang-Hsien YangI-Mo Fang
SUPERFICIAL ADNEXAL LYMPHANGIOMA: CASE REPORT AND LITERATURE REVIEW/ Yi-Ming HuangChieh-Chih TsaiShu-Ching KaoShui-Mei Lee
SPONTANEOUS REGRESSION OF INDIRECT CAROTID-CAVERNOUS SINUS FISTULA/ Shao-Jung LeeYoun-Shen BeeMuh-Chiou LinJiunn-Liang ChenChia-Jung ShenShwu-Jiuan Sheu
ACQUIRED OCULAR TOXOPLASMOSIS IN A PATIENT WITH SULFA ALLERGY--A CASE REPORT/ Wei-Chun ChanShawn H. TsaiLee-Jen Chen
交感性眼炎-病例報告/ 傅振男莊秋同林俊佑吳宗典許淑娟
原發性結霜樹枝狀血管炎之病例報告/ 莊秋同吳宗典許淑娟
LONG-STANDING TEMPORAL VISUAL FIELD DEFECT WITH PERIPAPILLARY PIGMENTARY CHANGES--TWO CASE REPORTS/ Jen-Pin SunPo-Ting YehChung-May Yang
 
   
 
   

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