目的探讨眼眶内异物的诊治要点。方法对我院1例眼眶内铅笔异物长期误诊的临床资料进行回顾性分析。结果本例因左下眼睑肿物5年入院,CT检查考虑眼眶异物,行左眼眶内异物取出术,手术证实为眼眶内铅笔异物,术后痊愈出院。结论眼眶异物眼部症状不明显时较难诊断,故对眼部异物感不明显、视力轻度下降者,应详细询问外伤史并进行必要的医技检查,以及早诊断和治疗。 Objective To investigate the diagnosis and treatment of intraorbital foreign body. Methods A retrospective analysis was performed on the long-term misdiagnosis of intraocular pencil foreign bodies in our hospital. Results In this case, the lower left eyelid tumor was admitted for 5 years. The CT examination considered orbital foreign bodies and the left orbital foreign body was removed. The operation was confirmed as intracranial pencil foreign body and was discharged after surgery. Conclusion Eye orbital foreign body is not obvious when the symptoms are not obvious, so the eye is not obvious foreign body sensation, mild decline in visual acuity, should be asked in detail about the history of trauma and the necessary medical examination, and early diagnosis and treatment.