Schmuter Gabriella, Stern Ethan M, Packles Michelle
Ophthalmology, BronxCare Health System, Bronx, USA.
Cureus. 2021 Nov 3;13(11):e19228. doi: 10.7759/cureus.19228. eCollection 2021 Nov.
Orbital foreign bodies must be approached with complex considerations involving their precise location and composition in order to adequately guide management. Physicians must carefully weigh the advantages and risks of surgical and medical intervention compared to conservative management. We present a case of a male patient with penetrating trauma to the eye that resulted in open globe injury and orbital foreign body, presumed metallic, at the posterior orbital apex near the optic nerve. As such, despite the uncertainty of the exact composition of the object, the medical team and patient agreed to conservative management given its high-risk anatomical location.
眼眶异物的处理需要综合考虑其精确位置和成分等复杂因素，以便为治疗提供充分指导。与保守治疗相比，医生必须仔细权衡手术和药物干预的利弊。我们报告一例男性患者，眼部穿透伤导致眼球开放性损伤和眼眶异物，推测为金属异物，位于视神经附近的眶尖后部。因此，尽管异物的确切成分尚不确定，但鉴于其解剖位置风险高，医疗团队和患者同意采取保守治疗。
