ABSTRACT
Retained intraorbital foreign body after penetrating orbital injury may affect adjacent tissue and lead to many ophthalmological sequeles such as visual disturbance, EOM limitation, diplopia, strabismus, orbital cellulitis and orbital abscess. If intraorbital foreign body intrudes into adjacent CNS system, it may lead to fatal complications such as meningitis and brain abscess. We should diagnose and treat intraorbital foreign body early and accurately to prevent complications, and rehabilitate damaged tissue anatomically and functionally. A patient with retained intraorbital foreign body after penetrating lower lid injury was transferred to our hospital for lid swelling and periocular pain. We diagnosed and confirmed intraorbital foreign body with use of plain X ray and orbital CT, and removed it with lateral orbitotomy surgical approach.
Subject(s)
Humans , Abscess , Brain Abscess , Diplopia , Foreign Bodies , Meningitis , Orbit , Orbital Cellulitis , StrabismusABSTRACT
Retained intraorbital foreign body after penetrating orbital injury may affect adjacent tissue and lead to many ophthalmological sequeles such as visual disturbance, EOM limitation, diplopia, strabismus, orbital cellulitis and orbital abscess. If intraorbital foreign body intrudes into adjacent CNS system, it may lead to fatal complications such as meningitis and brain abscess. We should diagnose and treat intraorbital foreign body early and accurately to prevent complications, and rehabilitate damaged tissue anatomically and functionally. A patient with retained intraorbital foreign body after penetrating lower lid injury was transferred to our hospital for lid swelling and periocular pain. We diagnosed and confirmed intraorbital foreign body with use of plain X ray and orbital CT, and removed it with lateral orbitotomy surgical approach.
Subject(s)
Humans , Abscess , Brain Abscess , Diplopia , Foreign Bodies , Meningitis , Orbit , Orbital Cellulitis , StrabismusABSTRACT
We evaluated 206 eyes of 105 patients who recieved LASIK with Meditec Mel 60 excimer laser and followed up for at least 6 months. We used 6 mm optical ablation zone to every passible patients and excuted photorefractive ablation after making corneal hinge flap using a 160 micrometerplate. The range of refractive error was from -1.75D to -13.50D and patients were divided into 3 group according to their manifest refraction error(spherical equivalent): Group I(-10.25D, 14 eyes). Mean preoperative spherical equivalent was -3.81D in group I, -7.63D in group II and -12.56D in group III. Mean spherical equivalent after LASIK at 1 Month was +0.05+/-0.60D in group I, 0.00+/-0.74D in group II, -0.12+/-0.99D in group III and at 3 Months, -0.11+/-0.58D, -0.19+/-0.75D, -0.59+/-0.90D and at 6 months -0.21+/-0.59D, -0.34+/-0.78D, -1.11+/-0.86D respectively. In group I, 90.6% of eyes were within 1D of attemped correction at 6 Months as were 80.6% in group II and 46.0% in group III. Mean UCVA at 6 month after LASIK was 1.02 in group I, 0.90 in group II, 0.75 in group III and uncorrected visual acuity of 0.8 or better was achieved in 91.6% of 118 eyes in group I, 88.5% of 67 eyes in group IIand 76.9% of 13 eyes in group III. LASIK done experienced surgeon appears to be safe, accurate, efficient to correct myopic refractive error.