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眶内异物的诊断与治疗:一例报告

Diagnosis and treatment intraorbital foreign body: A case report.

作者信息

Zhao Hongqing, Feng Hui, Du Lei

机构信息

Nanbu County People's Hospital Nanchong Sichuan Province China.

77th Army Hospital Leshan Sichuan Province China.

出版信息

Clin Case Rep. 2024 Apr 30;12(5):e8733. doi: 10.1002/ccr3.8733. eCollection 2024 May.

DOI:10.1002/ccr3.8733
PMID:38689682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11060878/
Abstract

KEY CLINICAL MESSAGE

Wooden foreign bodies inside the eye socket are an uncommon kind of eye injury that falls into a distinct category of intraorbital foreign bodies. Due to the wide range of clinical presentations and imaging features of intraorbital wooden foreign bodies, misinterpretation and failure to diagnose correctly often happen.

ABSTRACT

Wooden foreign bodies inside the eye socket are an uncommon kind of eye injury that falls into a distinct category of intraorbital foreign bodies. The condition mostly manifested in individuals of youthful and middle age. Due to the wide range of clinical presentations and imaging features of intraorbital wooden foreign bodies, misinterpretation and failure to diagnose correctly often happen during the first examination. The risk of orbital infection might greatly rise if there is a delay in diagnosing woody foreign substances inside the eye socket. The majority of patients need surgical intervention as the recommended course of therapy. Nevertheless, it is essential to avoid disregarding undetected diagnoses and the existence of foreign material remnants after prior surgical procedures. Hence, achieving a precise diagnosis relies on a comprehensive assessment of the patient's trauma history, meticulous examination of the eyes, vigilant monitoring of clinical symptoms, accurate imaging techniques such as magnetic resonance imaging (MRI) or computerized tomography (CT), and prompt and thorough removal of wooden foreign objects within the eye socket.

摘要

关键临床信息

眼眶内木质异物是一种罕见的眼外伤,属于眼眶内异物的一个独特类别。由于眼眶内木质异物的临床表现和影像学特征范围广泛,常常会出现误诊和未能正确诊断的情况。

摘要

眼眶内木质异物是一种罕见的眼外伤,属于眼眶内异物的一个独特类别。这种情况大多发生在中青年个体中。由于眼眶内木质异物的临床表现和影像学特征范围广泛,在初次检查时常常会出现误诊和未能正确诊断的情况。如果眼眶内木质异物的诊断延迟,眼眶感染的风险可能会大大增加。大多数患者需要手术干预作为推荐的治疗方案。然而,必须避免忽视未被发现的诊断以及先前手术操作后异物残留的存在。因此,实现准确诊断依赖于对患者外伤史的全面评估、对眼睛的细致检查、对临床症状的密切监测、诸如磁共振成像(MRI)或计算机断层扫描(CT)等准确的成像技术,以及及时彻底地清除眼眶内的木质异物。

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Computed tomography in traumatic orbital emergencies: a pictorial essay-imaging findings, tips, and report flowchart.创伤性眼眶急症的计算机断层扫描:图文并茂的文章——影像学表现、技巧及报告流程图
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各种成像技术在识别和定位与开放性眼球损伤相关的眼内异物中的作用:三例病例报告及文献综述
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Chin J Traumatol. 2016 Dec 1;19(6):322-325. doi: 10.1016/j.cjtee.2016.04.006.
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