DNB Resident, Department of Comprehensive Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.
Senior Consultant, Department of Ophthalmic Plastic and Reconstructive Surgery, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.
Indian J Ophthalmol. 2020 Jan;68(1):219-221. doi: 10.4103/ijo.IJO_569_19.
Penetrating orbitocranial injuries can present with foreign body/bodies (FBs) lodged in eye, orbit, and/or brain. But limited literatures are available about FBs lodged partly in orbit and partly intracranially. Here, we present a rare case of orbitocranial wooden FB impacted in right palpebral aperture extending intracranially following accidental fall from height. Unexpectedly, the patient himself removed the FB in fully conscious and oriented state while waiting for neurosurgical intervention, later completely recovered under observation and antibiotic prophylaxis. Therefore, it is important to have high suspicion of intracranial extension in impacted orbital FBs and a team approach for managing such cases.
穿透性眶颅损伤可表现为异物(FBs)嵌顿于眼部、眶部和/或脑部。但是,关于部分嵌顿于眶内和部分嵌顿于颅内的 FBs ,相关文献有限。在此,我们报告了 1 例罕见的病例,患者因高处意外坠落,导致木制 FB 部分嵌顿于右眼睑裂并延伸入颅内。出乎意料的是,在等待神经外科干预的过程中,患者在完全清醒和定向状态下自行取出 FB ,随后在观察和抗生素预防的情况下完全康复。因此,对于嵌顿于眶内的 FB ,有必要高度怀疑其是否向颅内延伸,并采用多学科团队方法来处理此类病例。