A 20-year-old, male patient was admitted to the Department of Neurosurgery, Seoul National University Hospital, complaining of painful is welling of the left orbit. Two days before admission, patient sustained piercing of an aluminium chopstick at his left upper eyelid by his friend accidentally. Fluttered friend tried to pull out the chopstick manually but only broke its proximal portion.
On neurologic and ophthalmologic exam, he was fully conscious and free from neurologic deficits at all. His visual acuity was as usual and examination of fundi, extraocular muscle functions, visual field ands pupillary light reflex were all within normal limit. Subconjuctival hemorrhage and chemosis were positive findings.
Skull X-rays including optic foramen view revealed broken distal part of the chopstick, about 7 cm in length, which passed through the left lateral orbit and left optic foramen to reach sellar region across the midline.
Emergency Kronlein-Berke´s lateral orbitotomy was performed and the chopstick was removed without difficulty.
Postoperatively patient showed good recovery and presented quite normal and usual eye function.
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