Sullivan T J, Patel B C, Aylward G W, Wright J E
Orbital Clinic, Moorfields Eye Hospital, London.
Aust N Z J Ophthalmol. 1993 Feb;21(1):49-52. doi: 10.1111/j.1442-9071.1993.tb00130.x.
A case of anaerobic orbital cellulitis secondary to intraorbital wood and an approach to management are presented. Retained foreign bodies should be suspected in all penetrating orbital injuries involving wood. Computed tomography (CT) should be performed to delineate the location and size of any foreign body and to determine damage to adjacent structures. Magnetic resonance imaging (MRI) is useful in certain circumstances. Orbital infection should be anticipated and broad-spectrum antibiotic cover (including anaerobes) provided. Surgical intervention should be undertaken to remove any retained foreign bodies to prevent vision-threatening complications.
本文介绍了一例因眼眶内木质异物继发的厌氧性眼眶蜂窝织炎及处理方法。在所有涉及木质异物的穿透性眼眶损伤中，都应怀疑有异物残留。应进行计算机断层扫描（CT）以确定任何异物的位置和大小，并确定对相邻结构的损伤。在某些情况下，磁共振成像（MRI）很有用。应预见到眼眶感染并给予广谱抗生素覆盖（包括厌氧菌）。应进行手术干预以取出任何残留的异物，以防止威胁视力的并发症。
