Mirza G E, Ekinciler O F, Karaküçük S
Department of Ophthalmology, Erciyes University Faculty of Medicine, Kayseri, Turkey.
Acta Ophthalmol (Copenh). 1993 Apr;71(2):266-9. doi: 10.1111/j.1755-3768.1993.tb05001.x.
A 9-year-old girl was wounded by a pencil which entered the right orbit and passed towards the left. The broken part remained inside. The diagnosis was delayed for 9 months since the history and the symptoms were misleading. The pencil, which could not be detected with plain X-rays, was demonstrated with computerized tomography (CT) and removed from the orbit successfully. The case is presented to emphasize the contribution of CT to the perforating injuries of the orbit with wooden particles. Importance of orbital foreign bodies in the differential diagnosis of proptosis in the pediatric age group is also discussed.
一名9岁女孩被一支铅笔刺伤,铅笔进入右眼眼眶并向左穿出,折断部分留在体内。由于病史和症状具有误导性,诊断延误了9个月。普通X光无法检测到这支铅笔,但通过计算机断层扫描(CT)得以显示,并成功从眼眶中取出。本文展示该病例以强调CT在诊断眼眶木质异物穿孔伤中的作用。同时也讨论了眼眶异物在小儿眼球突出鉴别诊断中的重要性。