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来自眼眶底骨折并导致眼内异物的骨头。

Bone from an orbital floor fracture causing an intraocular foreign body.

作者信息

Garg Sunir J, Benson William, Fineman Mitchell, Bilyk Jurij R

机构信息

Barnes Retina Institute, Department of Ophthalmology, Washington University, St. Louis, Missouri 63144, USA.

出版信息

Am J Ophthalmol. 2005 Mar;139(3):543-5. doi: 10.1016/j.ajo.2004.08.054.

Abstract

PURPOSE

To describe the ophthalmoscopic and radiologic findings of a patient who sustained blunt orbital trauma. A piece of bone from the fractured orbital wall caused an intraocular foreign body.

DESIGN

Case report.

METHODS

An 18-year-old man underwent full ophthalmoscopic examination 1 week after sustaining blunt ocular trauma to the right eye while playing basketball. B-scan ultrasonography and computed tomography of the orbits were also performed.

RESULTS

Visual acuity, intraocular pressure, and anterior segment examination were normal. Funduscopic examination revealed a fragment of bone that had penetrated the sclera, choroid, and retina. A hole in the sclera was visible. No treatment was performed. Three months later, the patient had no ocular complaints or complications as a result of this injury.

CONCLUSION

Bone from a patient's orbit may cause an intraocular foreign body that may be followed conservatively in certain circumstances.

摘要

目的

描述一名遭受钝性眼眶外伤患者的检眼镜及放射学检查结果。眼眶壁骨折的一块骨头导致了眼内异物。

设计

病例报告。

方法

一名18岁男性在打篮球时右眼遭受钝性眼外伤1周后接受了全面的检眼镜检查。还进行了眼眶B超扫描和计算机断层扫描。

结果

视力、眼压和眼前节检查均正常。眼底检查发现一块骨头碎片穿透了巩膜、脉络膜和视网膜。可见巩膜上有一个洞。未进行治疗。三个月后,该患者未因此次损伤出现眼部不适或并发症。

结论

患者眼眶的骨头可能导致眼内异物,在某些情况下可采取保守观察。

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