Schulze S, Koop G, Strempel I
Augenklinik des Universitätsklinikums Giessen und Marburg GmbH, Standort Marburg, Robert-Koch-Strasse 4, 35033 Marburg, Deutschland.
Ophthalmologe. 2007 Jul;104(7):594-7. doi: 10.1007/s00347-006-1472-y.
Foreign bodies are quite commonly found incorporated in the lid area after injuries. Normally the patient's description of the injury and the usually fresh clinical findings leave little room for doubt about their composition. In isolated cases, however, patients are admitted with "lid tumors" following an accident in the rather distant past, so that sometimes no connection can be seen with the symptoms present on admission and it is not even clear whether there is still foreign material in the wound. Subcutaneous swellings can then easily be mistaken for cicatricial tissue, granulomas or old hematomas. In all these cases there can be a big difference between what the surgeon expects and the actual intraoperative findings. We present three cases in which unexpected foreign bodies have been extracted from the eyelid region.
外伤后,异物常存于眼睑区域。通常,患者对受伤情况的描述以及新鲜的临床症状,使异物的构成几乎毋庸置疑。然而,在个别情况下,患者在很久以前受伤后以“眼睑肿物”入院,以至于有时入院时的症状与受伤并无关联,甚至伤口内是否仍有异物也不明确。皮下肿物很容易被误诊为瘢痕组织、肉芽肿或陈旧性血肿。在所有这些病例中,外科医生的术前预期与术中实际发现可能存在很大差异。我们报告三例从眼睑区域取出意外异物的病例。