Lawan A, Danjuma S A
Department of Ophthalmology, Bayero University, Kano, Nigeria.
Ann Afr Med. 2012 Apr-Jun;11(2):116-8. doi: 10.4103/1596-3519.93536.
Two male siblings aged 10 and 17 years, respectively, presented to our hospital with two days history of being shot in the right eyes with arrows. The patients presented with severe pains, bleeding, swelling, discharge and loss of vision. There was positive history of application of traditional eye medicine and an unsuccessful attempt was made to remove the arrows. Both patients presented with panophthalmitis. X-rays of the orbits and para nasal sinuses indicated the tip of the arrow was lodged to the apex of the orbit in the younger patient, and the arrow vertically traverses the eye/ orbit and lodged in the roof of the maxillary sinus in the other patient with fluid level in the lower third of the sinus. The patients were placed on broad-spectrum systemic antibiotics, had base line investigations and prepared for exploration. The patients had evisceration with removal of the arrows.
两名男性患者，年龄分别为10岁和17岁，因右眼被箭射中两天前来我院就诊。患者表现为剧痛、出血、肿胀、分泌物增多及视力丧失。有使用传统眼药的病史，且曾尝试取出箭头但未成功。两名患者均出现了全眼球炎。眼眶和鼻窦的X线检查显示，较年轻患者的箭头尖端位于眼眶尖部，另一患者的箭头垂直穿过眼球/眼眶并嵌入上颌窦顶部，且上颌窦下三分之一处有液平面。患者接受了广谱全身抗生素治疗，进行了基线检查并准备进行探查。患者接受了眼球摘除术并取出了箭头。
