Department of Ophthalmology, Seoul Veterans Hospital, Seoul, Korea.
Ophthalmic Plast Reconstr Surg. 2011 Jan-Feb;27(1):e2-4. doi: 10.1097/IOP.0b013e3181d644f4.
A 56-year-old male presented with a history of left periorbital pain, nausea, vomiting, dyspnea, sweating, and pallor. His left eye was injured by a bomb explosion approximately 40 years ago. Evisceration was performed. There were no cardiopulmonary and gastroenterological findings except mild bradycardia (54/min). CT evaluation revealed a 4-cm-sized, sharp, metallic, intraorbital foreign body in the left orbit. After the removal of the foreign body, the symptoms completely resolved with a normal heart rate (69/min). The authors present a case of delayed oculocardiac reflex induced by an old intraorbital foreign body.
一位 56 岁男性,因左眼眶周围疼痛、恶心、呕吐、呼吸困难、出汗和面色苍白而就诊。大约 40 年前,他的左眼被炸弹爆炸所伤。进行了眼内容剜除术。除了心动过缓(54 次/分)外,心肺和胃肠病学检查均无异常。CT 评估显示左眼眶内有一个 4 厘米大小的尖锐、金属、眶内异物。异物取出后,症状完全缓解,心率正常(69 次/分)。作者报告了一例由陈旧性眶内异物引起的迟发性眼心反射病例。