Santos Thiago de Santana, Melo Auremir Rocha, Moraes Hécio Henrique Araújo de, Almeida Júnior Paulo, Dourado Edwaldo
Faculdade de Odontologia de Pernambuco, Recife, PE, Brazil.
Arq Bras Oftalmol. 2010 Sep-Oct;73(5):438-42. doi: 10.1590/s0004-27492010000500010.
Orbital injuries with a foreign body may result in severe structural and functional damage to the eye or orbital contents. Management and prognosis depend on the composition and location of the foreign body and whether there is secondary infection. Metallic objects and glass are the most frequently encountered and well-tolerated, whereas organic foreign bodies can elicit an inflammatory reaction and lead to serious complications. Despite the modern imaging methods, it is often difficult to identify and locate organic intraorbital foreign bodies. This paper presents a review of nine cases of impacted foreign bodies in the orbital region and discusses the diagnosis and treatment of this kind of injury. The following data were collected: age, gender, etiology of injury, occurrence of fracture, anatomical location of fracture, type of object, signs and symptoms, type of imaging exam used, approach, transoperative complication and occurrence of death. Foreign body injuries in the orbital region can be treated with a combination of clinical suspicion, basic knowledge and diagnostic tests and depend on the skill and experience of the surgeon, thereby decreasing the surgical risk of iatrogenic injury in relation to the inherent risk of retaining an organic intraorbital foreign body.
伴有异物的眼眶损伤可能会对眼睛或眼眶内容物造成严重的结构和功能损害。治疗和预后取决于异物的成分和位置，以及是否存在继发感染。金属物体和玻璃是最常遇到且耐受性较好的，而有机异物可引发炎症反应并导致严重并发症。尽管有现代成像方法，但通常很难识别和定位眼眶内的有机异物。本文回顾了9例眼眶区域异物嵌顿的病例，并讨论了此类损伤的诊断和治疗。收集了以下数据：年龄、性别、损伤病因、骨折发生情况、骨折的解剖位置、物体类型、体征和症状、使用的成像检查类型、手术入路、术中并发症及死亡情况。眼眶区域的异物损伤可通过临床怀疑、基础知识和诊断测试相结合的方式进行治疗，这取决于外科医生的技能和经验，从而降低与保留眼眶内有机异物的固有风险相关的医源性损伤的手术风险。
