文章基本信息

标题：Case report on the successful removal of an organic penetrating object into the orbit
作者：Rezae, Leyla ; Najafi, Farid ; Moradinazar, Mehdi 等
期刊名称：Journal of Injury and Violence Research
印刷版ISSN：2008-4072
出版年度：2013
卷号：6
期号：1
页码：50-52
语种：English
出版社：Journal of Injury and Violence Research
摘要：The penetration of objects into the orbit can lead to blindness and even to the death of the patient. The penetration of organic objects longer than 7cm into the eye is a rare phenomenon. In this study, we report a case in which a 6-year-old boy fell on a pencil which penetrated the upper side of his right eye orbit. Because of the agitation of the child and the lack of access, it was not possible to perform a brain or orbital computed tomography (CT) scan, but an X-ray showed that the object had gone directly into the retro-orbital space. As the result of a clinical diagnosis, it was possible to ascertain that the globe was severely hypertonic. Throughout this process the child was extremely agitated. After consultation with the neurosurgery service, the patient was rushed to the operation room. After anesthesia and superanasal peritomy, the pencil was removed slowly from the orbit. Neurology and CT scans after surgery didn’t show any ocular or brain symptoms. Once the patient’s general condition had improved sufficiently and his visual acuity had returned to 10/10, he was discharged from the hospital. This case shows that even without specialized tests, such as CT scans, an organ can be saved. © 2013 KUMS, All rights reserved
关键词：Orbit penetrating object;case report;surgery