Shah Kshitij D, Chacko Susan P, Patel Tejal, Bradoo Renuka
ENT, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
ENT, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
BMJ Case Rep. 2020 Feb 18;13(2):e233198. doi: 10.1136/bcr-2019-233198.
The possibility of a retained foreign body should always be considered when a patient presents with a history of orbital trauma, especially when the patient is unresponsive or temporarily responsive to treatment. Not all cases of retained foreign body present with decreased vision or restricted mobility or fever. The entry wound is also not apparent on examination in all cases. In summary, meticulous history-taking, thorough examination, high index of suspicion along with a low threshold for imaging studies are essential to make a timely diagnosis of a retained intraorbital foreign body. The prompt removal with the appropriate approach may not only save the eye but also the life of the patient.
当患者有眼眶外伤史时，尤其是患者对治疗无反应或暂时有反应时，应始终考虑存在异物存留的可能性。并非所有异物存留病例都表现为视力下降、活动受限或发热。在所有病例中，检查时也并非都能明显看到入口伤口。总之，细致的病史采集、全面的检查、高度的怀疑指数以及对影像学检查较低的阈值对于及时诊断眶内异物存留至关重要。采用适当方法迅速取出异物不仅可以挽救眼球，还可以挽救患者的生命。
