Abstract
: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.
Highlights
T rauma or penetration of a foreign object into the eye is one of the most common causes of monocular blindness.[1,2] Ocular trauma is the cause of blindness in approximately half a million people worldwide.[3,4] Only one quarter of all eye traumas lead to permanent or temporary loss of vision.[4]
The severity of the accident was such that the pencil was split in two, with half of it lodged in the upper cavity of his right orbit
One of the reasons this case is of special interest is because the penetrating object consisted of organic matter
Summary
T rauma or penetration of a foreign object into the eye is one of the most common causes of monocular blindness.[1,2] Ocular trauma is the cause of blindness in approximately half a million people worldwide.[3,4] Only one quarter of all eye traumas lead to permanent or temporary loss of vision.[4]. The penetration of foreign objects longer than 7cm into the eye is exceptionally rare and even rarer is the removal of an object of this size without brain or ocular damage.[1]
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