Клинический случай обширного субконъюнктивального разрыва склеры с благоприятным исходом

Abstract

Aim. To present a clinical case of severe open injury of the eyeball of a con-tusion nature with the presence of intraocular complications and to show that de-spite the significant severity of the injury, good results can be achieved. Material and methods. Patient injured his right eye at home with a metal tip on a rubber band, after which his vision sharply decreased, pain and lacrimation of the right eye appeared. Objectively: vision of the right eye pr. l. certae, intraocular pressure (palpation) - hypotension. No foreign body was found on the survey radi-ograph of the orbits. An ultrasound B-scan revealed hemophthalmus, and subse-quently (after 7 days) retinal detachment appeared. The patient underwent vitrec-tomy, tamponade of the vitreous cavity with silicone oil, endolaser coagulation of the retina. Results. On the 1st day after the operation, the visual acuity increased to 0.4 with correction (shp +8.0). 3 months after discharge from the hospital, the patient had complete safety of the eyeball and stable functional results were achieved, where the visual functions of the injured eye were 0.5 with correction (shp + 8.0). Conclusions. A clinical case of severe open eye injury with extensive sub-conjunctival rupture of the sclera, hemophthalmos and retinal detachment demon-strates that, despite the severity of the injury, with timely provision of high-tech surgical care, there is a real chance of saving the eyeball and get high visual func-tions. Key words: Traumatic vitreous haemorrhage; vitrectomy; subconjunctival rupture of the sclera; retinal detachment.