A case of orbital injury with a plastic chopstick accompanied by meningeal irritation signs was presented.
A 34-year-old house-wife was admitted to our clinic complaining of vision loss, proptosis and dull ocular pain in right eye on March 11, 1976.
17 days before admission she was stabbed on the right orbital region with a plastic chopstick.
The clinical finical findings were recorded normal in left eye, The right eye showed zero in vision, proptosis, fixed eyeball with total ophthalmoplegia and exposure Keratitis.
On the 2nd hospital day a broken plastic chopstick, 9.5 cm in length, was carefully removed from injured site by exploratory operation. In that afternoon meningeal irritation signs, vomiting and neck stiffness was abruptly developed. The laboratory findings of the cerebrospinalfluid revealed inflammatory signs. After having been administered massive antibiotics (crystalline penicillin, bayrena, & chloramphenicol) systemically for 17 days, she was recovered from meningeal irritation signs containing remission of inflammatory findings of cerebro spinal fluid examination.
On the 21st hospital. day, 39 days after injury, the optic disc was seen totally pale.
On the 25th hospital day she was discharged, at which right eye showed clear in cornea, totally pale disc, and total ophthalmoplegia with ptosis.
When she returned about 5 months after discharge, the right eye revealed much regressed ptosis, superficial corneal opacity with loss of corneal sense, ocular motility limited in superolateral direction, fixed and dilated pupil and still pale disc.
Authors attempt to evaluate this case through the related literatures.
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