Moshfeghi Darius M, Wilson Matthew W, Martin Terry L, Haik Barrett G
Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA.
Ophthalmic Plast Reconstr Surg. 2002 May;18(3):211-3. doi: 10.1097/00002341-200205000-00011.
To report 3 instances of 2 children who swallowed their ocular prostheses.
A 30-month-old boy whose eye had been enucleated for retinoblastoma swallowed his ocular prosthesis on 2 different occasions, and a 32-month-old boy whose eye had also been enucleated for retinoblastoma swallowed his ocular prosthesis once.
In the second child, an abdominal radiograph was obtained, but the swallowed prosthesis was not apparent, and radiographic imaging of the recovered prosthesis failed to demonstrate an identifiable object. In each case, the prosthesis was recovered in the child's stool without incident several weeks later. Neither child had physical complications as a result of the swallowing events.
We report 3 instances in which a child fitted for an ocular prosthesis after enucleation swallowed his prosthesis and had no untoward effects. The failure of imaging to detect the prostheses in the second child is attributed to the radiolucent nature of materials used in the manufacture of the prosthesis. Each of the children was having life stresses in addition to his medical treatment that may have accounted for his behavior.
报告2例儿童吞下眼部假体的病例。
一名30个月大的男孩因视网膜母细胞瘤接受眼球摘除术，曾两次吞下眼部假体；一名32个月大的男孩同样因视网膜母细胞瘤接受眼球摘除术，曾一次吞下眼部假体。
对于第二名儿童，拍摄了腹部X光片，但未发现吞下的假体，对找回的假体进行放射成像也未显示出可识别的物体。在每种情况下，数周后假体均在儿童粪便中顺利找回。两名儿童均未因吞咽事件出现身体并发症。
我们报告了3例眼球摘除术后佩戴眼部假体的儿童吞下假体且未产生不良影响的病例。第二名儿童成像未能检测到假体，归因于假体制造材料的射线可透过性。除医疗治疗外，每名儿童都面临生活压力，这可能是导致其行为的原因。
