SEVERE EYEBALL CONTUSIS AND CORNEAL PERFORATION INJURY (CLINICAL CASE)

Аннотация

This 39-year-old in the article male in the patient eye of the apple heavy level contusion and horn curtain piercing past injury with together colorful curtain output status presented The patient​ house under the circumstances in the drill while working right iron wire tattoo on the eye with enter gone. Urgent diagnosis put; primary surgery processing Done. On time. shown medical help as a result the patient's see ability partially preserved This is the clinical situation urgent ophthalmological approach and surgery intervention relevance shows. Keywords: Eye injury, contusion, horn​ curtain, colorful curtain, surgery intervention, openglobular injury. Relevance of the study. Eyeball​ piercing past injuries in ophthalmology heavy complications brought issuer from cases one Especially the horn​ ​ curtain through internal structures out departure with passing injuries the patient's see to the possibility directly threat solid. This type injuries of sight noticeable loss and injury in the field infection to increase take arrival possible [1,3,6,8]. Research this shows that such in injuries temporary delay many in cases endophthalmitis ( internal eye infection ) and traumatic proliferative the risk ofvitreoretinopathy (PVR)increases. 24 hours delayed primary surgery intervention patients between endophthalmitis the risk almost 2.5 times increases [2,4,5,7]. In timediagnosis put and rush surgery intervention see ability save instaying and recovering mainrole plays. Belowcited clinical situationthis theideaagain onethere is confirms. The purpose of the study: Analysis of the effectiveness of urgent diagnosis and primary surgical intervention in preserving vision and preventing complications in open eyeball injuriesin a clinical case. Materials and methods : This clinical Tashkent city on June 21, 2025 under observation Urgent fast medical help clinical tothe hospital appeal did, right eye ofthe apple heavy level contusion and horn curtain piercing past injury diagnosis 39-year-old male patient participation The patient 's history, physical and ophthalmological examination results, as well as ultrasound examination (B- scan ) data based on evaluated. Primary surgery processing was held. From the practice then patient 8 days during stationary under observation became, dynamic evaluation and conservative treatment continue was carried out. Clinical situation Definition: Patient Age : 39 years old. Gender : male. Occupation : private businessman. Came Time : June 16, 2025 7:00 PM. Complaint : Right eye redness packing bleeding torejuvenate andbrighten to see. Anamnesis : Patient from the word on 16.06.2025 at 11:00 a.m. at home, in the drill a piece of iron wire while working for nothing right to the eye scattered. From there after in sight pain, vision of sharpness sharp decline and eye inside of the liquid outside exit felt. Patient Tashkent city Urgent fast medical help clinical to the hospital appeal as came and rushed accordingly hospitalization was done. Status locales : Visus =OD 0.02. Not corrected ; OS 0.9. Intraocular pressure = OD T-1. OS 18.0 mm wire. OD - Pumpkin a little swollen conjunctiva​ hyperemia, blepharospasm, rejuvenation mixture injection, horn curtain para optic in the field 4-5 mm puncture at 16-00 98,7:ROTCAFTCAPMI.SECNEICSLACIDEM ,5202 , yluJ,5emuloV gro.srehsilbupcimedaca.www past injury, wound from the field colorful curtain out, previous camera shallow, fluid dim hyphaema 2.0mm,pupilwrong in theform reaction slow​ OD-eye bottom: front camera dullness becauseof not visible. OS - Front parts quiet, horn curtain clear, front camera medium, fluid clear, pupil reaction 3.0mm saved. gem clear, eye bottom : KND open pink, border clear, veins tuft inthecenter, thearteries are narrow, theveins full-fledged, net curtain thinned Of the eye ultrasound inspection Conclusion OD (B scan ) - vitreous in the body average homogeneous in character blurs. Back hyaloid curtain separation. Net curtain owns in place, notmoved. 16.06.2025 - year. General blood analysis : blood coagulation time - 3.40-4.00 sec, Erythrocytes (RBC) - 4.4 10^12/L, Leukocytes (WBC) - 7.1 10^9/L, Hemoglobin (HB) - 138.0g/l (16.06.2025) -16.06.2025-Alcoholic drinks –ABS. Diagnosis : OD - Eyeball heavy level contusion. Horn curtain piercing past injury. Injury from thefield colorful curtain output with. Recommendation : OD. Fast horn curtain piercing entered complicated to the injury primary surgery processing practicetransfer​ Treatment. OD. Horn curtain piercing entered complicated to the injury primary surgery processing. 98,7:ROTCAFTCAPMI.SECNEICSLACIDEM ,5202 , yluJ,5emuloV gro.srehsilbupcimedaca.www OD. Pumpkins and its around on the skin processing iodine with given. Anesthesia retrobulbar Sol. Lidocaine 2% 2 ml. Bleforostat. Horn curtain injury field physiological solution with diluted with antibiotics solution with washed. From the wound out standing colorful curtain micro spatula to the front camera using reposition was done.