Cartwright M J, Kurumety U R, Frueh B R
Florida Eye Clinic, Altamonte Springs 32701, USA.
Ophthalmic Plast Reconstr Surg. 1995 Mar;11(1):44-8. doi: 10.1097/00002341-199503000-00008.
It is frequently difficult to identify and localize organic intraorbital foreign bodies despite modern day high-resolution imaging studies. Although there can be grave complications associated with retention of organic intraorbital foreign bodies, many believe that removal of such bodies in most cases is unwarranted. A high clinical suspicion, proper choice of imaging studies, and removal by a skilled orbital surgeon probably make the risk of surgical exploration and foreign body removal less than the risk of foreign body retention. We present a case of an intraorbital wood foreign body that required two separate explorations for retrieval. An initial intraconal exploration failed to locate the foreign body. Although the clinical suspicion was high, the imaging studies were equivocal, complicating the management. A second exploration yielded a large intraorbital wooden foreign body in the inferior extraconal space. The patient fully recovered and regained visual acuity of 20/20. The evaluation of such patients and details of management strategy are discussed.
尽管有现代高分辨率成像研究，但识别和定位眶内有机异物常常很困难。虽然眶内有机异物留存可能会引发严重并发症，但许多人认为在大多数情况下取出此类异物是不必要的。高度的临床怀疑、正确选择成像研究以及由经验丰富的眼眶外科医生进行取出操作，可能会使手术探查和取出异物的风险低于异物留存的风险。我们报告一例眶内木质异物病例，该异物需要两次单独探查才能取出。首次眶锥内探查未能找到异物。尽管临床怀疑度很高，但成像研究结果不明确，给治疗带来了复杂性。第二次探查在眶锥外下方空间发现了一个大的眶内木质异物。患者完全康复，视力恢复到20/20。本文讨论了对此类患者的评估及治疗策略细节。
