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Post-Ocular Trauma Corneal Staphyloma in a Child Living in an Underdeveloped Region of Eastern Indonesia

机译:印度尼西亚东部欠发达地区儿童的眼外伤后角膜葡萄球菌

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摘要

Ocular trauma occurring in children often leads to visual impairment or blindness when it is not properly managed. This often occurs in underdeveloped regions with difficult access to professional care at local health facilities. We report a case of post-trauma corneal staphyloma in an underdeveloped region of eastern Indonesia to illustrate the importance of proper management of ocular trauma in areas lacking such expertise and where patients have difficulty accessing even basic health care. During a community health outreach in Southwest Sumba, eastern Indonesia in May 2017, a 7-year-old boy presented with white protrusion of the left eye of 3 years' duration following an event of sharp trauma. The patient lived in an inaccessible and impoverished area. Upon contemporary examination, visual acuity of the left eye was 1/300 while that of the right eye was 6/6. Anterior examination revealed corneal staphyloma of the left eye, and its posterior segment could not be evaluated. The patient was transported to an eye care center in Jakarta, receiving a stock prosthesis implant while awaiting a corneal evisceration procedure with dermofat graft. Ocular trauma is one of the most common causes of visual impairment in children. This case illustrates the consequences of inadequate post-trauma management and the importance of prevention of infection.
机译:如果处理不当,儿童发生的眼外伤通常会导致视力障碍或失明。这通常发生在欠发达地区,难以在当地医疗机构获得专业护理。我们报告了印度尼西亚东部欠发达地区发生的创伤后角膜葡萄球菌病例,以说明在缺乏此类专业知识且患者甚至无法获得基本医疗服务的地区正确管理眼外伤的重要性。 2017年5月,在印度尼西亚东部西南松巴西南的社区卫生服务中,一名7岁男孩因剧烈创伤事件出现了3年的左眼白色突出症。病人住在一个​​人迹罕至的贫困地区。通过当代检查,左眼的视力为1/300,而右眼的视力为6/6。眼前检查显示左眼角膜葡萄球菌,其后段无法评估。该患者被转移到雅加达的眼科护理中心,接受了原种的假体植入,同时等待使用脱脂脂肪移植物进行角膜切除手术。眼外伤是儿童视力障碍的最常见原因之一。该病例说明了创伤后管理不充分的后果以及预防感染的重要性。

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