Ben Abdessalem Nadia, Zaafrane Nesrine, Jabri Ahmed, Sahraoui Fedi, Ben Abderrazek Atf, Mahjoub Anis, Dlensi Arij, Ayadi Anis, Mahjoub Hachemi, Mahjoub Ahmed
Ophthalmology Department, Farhat Hached University Hospital of Sousse, Tunisia.
Faculty of Medicine of Sousse, University of Sousse, Tunisia.
Ann Med Surg (Lond). 2022 Mar 4;76:103471. doi: 10.1016/j.amsu.2022.103471. eCollection 2022 Apr.
Apart from congenital causes, orbital trauma is a leading cause of unilateral vision loss in children. We report the case of a 2-year-old child who was victim of an orbital trauma of the right eye caused by a ballpoint pen. He consulted us the day after the trauma with significant palpebral edema making the examination difficult. An emergency CT scan of the orbit and brain showed the presence of a right intraorbital foreign body. The patient underwent removal of the foreign body by an anterior orbitotomy with general antibiotic therapy and a simple postoperative course. Penetrating trauma to the orbit should raise the suspicion of the presence of a foreign body. A CT scan should be performed to specify its location. The extraction of the foreign body can be a challenge that requires an experienced surgical team.
除先天性原因外，眼眶外伤是儿童单侧视力丧失的主要原因。我们报告一例2岁儿童因圆珠笔导致右眼眼眶外伤的病例。外伤后第二天他前来就诊，睑部明显水肿，使检查困难。眼眶和脑部的急诊CT扫描显示右眼眶内有异物。患者接受了前路眼眶切开术取出异物，并接受了全身抗生素治疗，术后恢复顺利。眼眶穿透伤应怀疑有异物存在。应进行CT扫描以确定其位置。取出异物可能是一项挑战，需要经验丰富的手术团队。
