A humongous intraorbital foreign body in a "possessed"patient
10.3969/j.issn.1672-5123.2010.08.007
- VernacularTitle:精神病患者巨大眶内异物1例
- Author:
Lee Foo KOK
;
Ismail Raihan SITI
;
Hussein ADIL
;
Ibrahim MOHTAR
;
lsmail Che HASANAH
;
Jalaluddin Mar@Salmah WIN
- Publication Type:Journal Article
- Keywords:
wooden intraorbital foreign body;
orbital cellulitis;
self-inflicted injury;
psychiatric patient
- From:
International Eye Science
2010;10(8):1474-1476
- CountryChina
- Language:Chinese
-
Abstract:
A 39 years old gentleman presented with red painful right eye.He had self-inflicted an injury to his right eye with a wooden stick and he saw a vision of an old man indicating him to do so.Clinically,the right eye was moderately proptosed,complete ophthalmoplegia and the periorbital skin was severely swollen.Imaging showed right orbital cellulitis with inferior ophthalmic vein thrombosis,bilateral cavernous sinus syndromeandimpending cavernous sinus thrombosis.No intraorbital or intraocular foreign body was reported.Despite aggressive intraven ous antimicrobials,the patient's condition was not improved.Exploration done under anesthesia exposed a huge wooden stick at the inferior fornix.Patient showed a remarkable recovery after the removal of the foreign body may occur in psychiatry patient that a possibility of selfinflicted injury.A detailhistory,examinationand appropriate investigations are mandatory to reveal the correlated clinical findings with imaging studies are the most helpful guide in managing intraorbital foreign body could potentially prevent further serious morbidity or
