眼眶异物据统计占眼内异物的70%,其中有部分位于球后,接近视神经的眼球后较大异物不早日取出,有失明的危险,我科遇见一例眼球后火药枪铁砂异物,从鼻外、筛窦、眼眶进路取出后得到视力恢复。我们认为从此进路,有它的独特优点,报导以供参考. 一、病例王x×、男、30岁、汉族、东辽县人。现病史:两天前面部火药枪击伤,昏迷约两小时,现右眼失明,于一九八五年四月二十五日入院治疗。检查:一般情况佳,心肺正常,无颅神经病变体征。右面部肿胀、皮肤散在多处烧灼伤,尖牙窝有1.5×3厘米不规则裂口,与右上颌窦贯通,右眼脸浮肿,眼裂小,球结膜充血,水肿,角膜透明,虹膜不清,瞳孔无反射,视力零,左眼视力1.5。面部X线正侧位片:“右面部见有多个园形约3—5毫米大小不等,不透X线金属异物。以鼻周围为中心较多,其中一颗金属 Orbital foreign body According to statistics accounted for 70% of intraocular foreign body, some of which are located in the ball, close to the optic nerve of the larger foreign body does not take out as soon as possible, there is a risk of blindness, our department met an eye gun after gunpowder iron sand foreign body, , Ethmoid, orbital access removed after vision recovery. We think this route has its unique merits and reports for reference.A case Wang x ×, male, 30 years old, Han nationality, Dongliao people. Current medical history: Two days ago, the gunpowder on the face wounded and wound up for about two hours. The right eye was blind and was admitted to hospital on April 25, 1985. Check: good general condition, cardiopulmonary normal, no signs of cranial neuropathy. Right facial swelling, scattered in many parts of the skin burns, canine fossa with 1.5 × 3 cm irregular rupture, and right maxillary sinus through, the right eye edema, small oculus, conjunctival hyperemia, edema, corneal transparency, iris is not clear No pupil reflection, zero vision, left eye vision 1.5. Facial X-ray is a lateral film: "The right side of the face see a number of garden about 3-5 mm in size, impervious X-ray metal foreign body around the nose as the center of the more, one of the metal