Liu Don, Al Shail Essam
Oculoplastics/Orbit Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Ophthalmology. 2002 Feb;109(2):393-9. doi: 10.1016/s0161-6420(01)00928-9.
To emphasize the potential complications of a retained orbital wooden foreign body (WFB) and the rationale of a surgical technique.
Two interventional case reports.
Two patients sustained an orbital WFB injury. Both patients had ocular complications despite repeated attempts to remove the suspected residues.
Computed tomography and magnetic resonance imaging of both patients at different intervals revealed evidence of orbital foreign body migration toward the cranium. A surgical technique combing transcranial and orbital approaches was used to remove the residues.
Preoperative and postoperative vision, proptosis, ocular motility, and various ocular symptoms and signs.
In both patients, no postoperative complications were seen, and all preoperative symptoms and signs were resolved at 9- and 19-month follow-ups, respectively.
A retained orbital WFB can cause early or late complications and is known to have the potential to migrate intracranially. In selected patients, a team approach may be the best technique to ensure complete removal.
强调眼眶内木质异物（WFB）残留的潜在并发症及一种手术技术的原理。
两份介入性病例报告。
两名患者遭受眼眶WFB损伤。尽管多次尝试清除可疑残留物，但两名患者均出现眼部并发症。
两名患者在不同时间间隔进行的计算机断层扫描和磁共振成像显示有眼眶异物向颅骨迁移的迹象。采用经颅和眼眶联合入路的手术技术清除残留物。
术前和术后视力、眼球突出、眼球运动以及各种眼部症状和体征。
两名患者术后均未出现并发症，术前所有症状和体征分别在9个月和19个月的随访中得到缓解。
眼眶内WFB残留可导致早期或晚期并发症，且已知有向颅内迁移的可能。对于选定的患者，团队协作的方法可能是确保完全清除异物的最佳技术。
