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مقاله
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Abstract
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Title:
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Case report on the successful removal of an organic penetrating object into the orbit
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Author(s):
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Leila Rezaei , Mitra Zamani ,Fariba Sheikhi shushtari,Farid Daneshgar ,Ahmad Jahanbakhshi
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Presentation Type:
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Poster
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Leila Rezaei
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Affiliation :(optional)
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Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
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E mail:
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leyla_rezaei60@yahoo.com
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Phone:
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09188370655
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Mobile:
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09188370655
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Purpose:
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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.
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Methods:
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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 CTscan, but an X-ray showed that the object had gone directly into the retro-orbital space.
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Results:
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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.
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Conclusion:
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This case shows that even without specialized tests, such as CT scans, an organ can be saved..
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Attachment:
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