Gelston Christopher D, Mandava Naresh, Durairaj Vikram D
Clin Exp Ophthalmol. 2005 Dec;33(6):661-3. doi: 10.1111/j.1442-9071.2005.01116.x.
A 74-year-old man presented with a 6-month history of a pigmented conjunctival lesion on his left eye. The lesion was initially suspicious for conjunctival melanoma. The patient admitted to a remote history of trauma from a airgun pellet over 60 years ago. Anterior examination revealed a 6 x 6 mm pigmented left conjunctival lesion and B-scan of the lesion was suggestive of a retained orbital foreign body. The lesion was removed through a transcaruncular medial orbitomy and pathology showed a retained orbital foreign body. A newly pigmented conjunctival lesion although initially concerning for melanoma represented a retained orbital body that surfaced many years after the initial orbital trauma.
一名74岁男性因左眼色素沉着性结膜病变6个月前来就诊。该病变最初怀疑为结膜黑色素瘤。患者承认60多年前曾被气枪子弹击中，有外伤史。眼部检查发现左眼结膜有一个6×6mm的色素沉着病变，病变的B超检查提示眶内有异物存留。通过经泪阜内侧眶切开术切除病变，病理检查显示眶内有异物存留。一个新出现的色素沉着性结膜病变，虽然最初怀疑是黑色素瘤，但实际上是一个在最初眼眶外伤多年后才出现的眶内异物。
