Rezae Leyla, Najafi Farid, Moradinazar Mehdi, Ahmadijouybari Tooraj
Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. E-mail:
J Inj Violence Res. 2014 Jan;6(1):50-2. doi: 10.5249/jivr.v6i1.323. Epub 2013 Jul 6.
The penetration of objects into the orbit can lead to blindness and even to the death of the patient. The penetration of organic objects longer than 7 cm into the eye is a rare phenomenon. In this study, we report a case in which a 6-year-old boy fell on a pencil which penetrated the upper side of his right eye orbit. Because of the agitation of the child and the lack of access, it was not possible to perform a brain or orbital computed tomography (CT) scan, but an X-ray showed that the object had gone directly into the retro-orbital space. As the result of a clinical diagnosis, it was possible to ascertain that the globe was severely hypertonic. Throughout this process the child was extremely agitated. After consultation with the neurosurgery service, the patient was rushed to the operation room. After anesthesia and superanasal peritomy, the pencil was removed slowly from the orbit. Neurology and CT scans after surgery didn't show any ocular or brain symptoms. Once the patient's general condition had improved sufficiently and his visual acuity had returned to 10/10, he was discharged from the hospital. This case shows that even without specialized tests, such as CT scans, an organ can be saved.
异物刺入眼眶可导致失明甚至患者死亡。长度超过7厘米的有机物体刺入眼睛是一种罕见现象。在本研究中，我们报告了一例6岁男孩跌倒在铅笔上，铅笔刺入其右眼眼眶上部的病例。由于患儿躁动且无法进行脑部或眼眶计算机断层扫描（CT），但X线显示异物直接进入眶后间隙。临床诊断结果显示眼球严重高眼压。在此过程中患儿极度躁动。与神经外科会诊后，患者被紧急送往手术室。麻醉和经鼻上睑切开术后，铅笔从眼眶中缓慢取出。术后神经科检查和CT扫描未显示任何眼部或脑部症状。一旦患者的一般状况充分改善且视力恢复到10/10，他就出院了。该病例表明，即使没有CT扫描等专门检查，器官也可以挽救。
