Umboh Anne M, Tansil Alberta Y, Najoan Rizki R
Department of Ophthalmology, Faculty of Medicine, Sam Ratulangi University, Manado, IDN.
Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Sam Ratulangi University, Manado, IDN.
Cureus. 2024 Sep 25;16(9):e70210. doi: 10.7759/cureus.70210. eCollection 2024 Sep.
Orbital foreign bodies, especially organic materials, can cause severe eye and orbital damage. Orbital apex syndrome (OAS), a complex condition affecting multiple cranial nerves, is often caused by trauma, among other factors. The patient was a three-year-old boy who fell onto a tree stump three days prior. He presented to the emergency department with left-sided eyelid edema, ptosis, traumatic mydriasis, numbness, and ophthalmoplegia and was diagnosed with OAS. Despite treatment with intravenous methylprednisolone, analgesia, and antibiotics, his condition did not improve after the transnasal endoscopic removal of the foreign body. This case highlights OAS caused by a wooden orbital foreign body requiring prompt, multidisciplinary surgical intervention. Early diagnosis and prompt intervention are crucial to preventing devastating outcomes like OAS and permanent visual impairment. Given the limited understanding of this condition, further research is essential to optimize management strategies and improve patient outcomes.
眼眶异物，尤其是有机材料，可导致严重的眼部和眼眶损伤。眶尖综合征（OAS）是一种影响多条颅神经的复杂病症，除其他因素外，常由外伤引起。该患者是一名三岁男孩，三天前摔倒在树桩上。他因左侧眼睑水肿、上睑下垂、外伤性瞳孔散大、麻木和眼肌麻痹就诊于急诊科，被诊断为眶尖综合征。尽管接受了静脉注射甲基强的松龙、镇痛和抗生素治疗，但经鼻内镜取出异物后他的病情并未改善。该病例突出了由木质眼眶异物引起的眶尖综合征，需要及时进行多学科手术干预。早期诊断和及时干预对于预防像眶尖综合征和永久性视力损害这样的灾难性后果至关重要。鉴于对这种病症的了解有限，进一步的研究对于优化管理策略和改善患者预后至关重要。
