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1
題名:高壓油噴傷致結膜下油脂肉芽腫塊──病例報告     (10點)
SUBCONJUNCTIV AL LIPOGRANULOMA AFTER HIGH-PRESSURE OIL INJECTION INJURY──A CASE REPORT
著者:薛育德(Yu-Te Hueish) ;方博炯(Po-Chiung Fong) ;郭明澤(Ming-Tse Kuo) ;游琇瑾(Shew-Gin Yow) ;黃昭誠(Chao-Cheng Huang)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Subconjunctivallipogranuloma ; high-pressure oil injection injury
刊名:中華民國眼科醫學會雜誌
卷期:41卷3期(2002.9)
頁碼:293-297
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:介紹一位17 歲男性,職業引擎技師,在89 年9 月更換汽 車機油時,機油逆向噴到右眼,因眼紅加劇擴大至本院求診,接受結 膜下腫塊切片檢查證實為油脂肉芽腫O 方法:單一病例報告O 結果:病人右眼臉無明顯腫脹瘀血,最佳矯正視力0.9 '未傷及 左眼O 細隙燈檢查呈現多重黃色突起顆粒分佈在變暗色的藏部結膜及 角膜僅輕微點狀破皮,前、後房均無異常,於是先投予局部、及口服 類固醇,而因無明顯改善,兩週後接受結膜下腫塊切片檢查證實為油 脂肉芽腫,術後追加結膜下類固醇注射促使顆粒隆起縮小,追蹤至今 仍無復發,結膜康爛癒合,只留下些許結膜色素沉澱O 結論:高壓油噴傷而導致之多發性結膜下脂肪肉芽腫,可經詳細 病史臨床表徵及病理切片得到正確診斷,適當的清創及切除肉芽腫塊 及結膜下類固醇注射,可得到良好治療效果O
Purpose: We present a case of 17-years-old male patient with multiple subconjunctival nodules over temporal bulbar conjunctiva of right eye after highpress 叮e oil iniection i叮叮y Method: A case report. Results: Increased signs of ocular re也ess prompt the patient to seek management. No significance of eyelid swelling and presented. Best-corrected visual acuity is 0.9. Resu1ts of ocular examtnation show normal VlSlOn, pupils, and ocular motili句Anterior segment is quiet and lens is clear. Fundus is unremarkable. After topical and oral steroid usage failed to con訂01 his lesion, he received excisional biopsy and pathologic report showed subco吋unctival lipogranuloma. Kenacort-A was injected into residual nodule after postoperative follow up. To date, clinical pictures show gradually shrinking subconjunctival nodules, local conjunctival erosion and pigmentary st也血ng. Conclusion: Multiple subconjunctival lipogranuloma after high-pressure oil injection 均ury IS rare. The correct diagnosis is based on detail history taking, C訂eful oc叫ar exantination and pathological findings. Proper debridement and excision of lipogranuloma and subconjunctival injection of corticosteroid are the key points for successful management.


    

本卷期目次
中華民國眼科醫學會雜誌 41卷3期 (2002.9)
分子遺傳學應用於角膜失養症
角、結膜之細胞學檢查/ 曾順輝
保存人類羊膜之臨床運用/ 馬惠康;校訂:蔡瑞芳
MANAGEMENT OF INFECTIOUS SCLERITIS WITH COMBINED MEDICAL AND SURGICAL INTERVENTIONS/ Wan-Ya SuDavid Hui-Kang MaRay Jui-Fang Tsai
SCANNING LASER POLARIMETRY ON GLAUCOMATOUS INDIVIDUALS WITH ESTABLISHED RETINAL NERVE FIBER LAYER DEFECTS/ Yen-Tung ChenJui-wen Hsieh
單側創傷性隅角退隱合併隅角開放型青光眼之研究/ 蔡裕棋謝瑞玟
台南縣國小一年級學生屈光狀態調查Ⅰ──以迴歸公式估算睫狀肌麻痺前後屈光值之差異/ 陳香吟蔡武甫呂瑾立
國立花蓮高中學生眼屈光狀態與配鏡之調查報告/ 洪世明林秀珍陳建同
PRlMARY CONJUNCTIVAL LYMPHOMA ── A CASE REPORT/ Hui-Ju Lin,MDI-Ping Chiang, MDChien-Ting Lin, MD
EXTRAOCULAR MUSCLE AMYLOIDOSIS── CASE REPORT/ Han-Chih ChengLing-Yuh Kao
ULTRASOUND BIOMICROSCOPIC FINDINGS IN A CASE OF ORBITAL V ARICES PRESENTED AS A SUBCONJUNCTIV AL MASS/ Chien-fan Fong, M.D.Wei-Li Chen, M.DFung-Rong Hu, M.D.I-Jong Wang,M.D. PhD.
乳癌轉移到眼眶及眼瞼的腫瘤──病例報告/ 林梓榮劉天佑張正忠
高壓油噴傷致結膜下油脂肉芽腫塊──病例報告/ 薛育德方博炯郭明澤游琇瑾黃昭誠
Alcaligenes faecalis角膜潰瘍──兩例病例報告/ 張智為王泰元劉秀雯
先天穩定型夜盲症──病例報告/ 郭鳳如劉秀雯楊健一
視乳頭巨大血管瘤治療──病例報告/ 楊榮華陳平芬胡佳文王乃弘
 
   
 
   

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