Chonnam Med J.  2009 Aug;45(2):140-143. 10.4068/cmj.2009.45.2.140.

A Case of a Stone in the Conal Space of the Orbit

• Choi W
• Lee SH
• Cho JK
• Park YG
• Yoon KC

• KMID: 2172276
• DOI: http://doi.org/10.4068/cmj.2009.45.2.140

Abstract

A 52-year-old man was admitted to the hospital after complaining of visual disturbance and ocular pain after the explosion of a tire. An examination revealed a 10-mm-sized medial scleral perforation with uveal tissue prolapse and hyphema. Computed tomography (CT) revealed a highly attenuated foreign body 2.0x1.2 cm in size in the intraconal space. Surgery was performed to remove the stone. Primary repair of the scleral perforation and of the partially ruptured medial rectus muscle was also done. We report a case of the successful management of an intraconal stone.

Keyword

Orbit; Stone; Perforation

MeSH Terms

Explosions
Foreign Bodies
Humans
Hyphema
Middle Aged
Muscles
Orbit
Prolapse

Figure

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  Fig. 1 Preoperative findings. (A) Computed tomography demonstrated a high attenuated foreign material in the medial intraconal space with medial orbital wall fracture. (B) Ultrasound sonography showed vitreous hemorrhage and suspicious choroidal detachment.

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  Fig. 2 Intraoperative findings. (A) Scleral perforation and conjunctival laceration with gross hyphema was visible. (B) Foreign body was removed through the medial intraconal space. (C) Foreign material was proved to be a 2.0×1.2 cm sized stone fragment. (D) The sclera, conjunctiva and medial rectus muscle were repaired.

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  Fig. 3 Findings at 4 months after operation. (A) Deep sulcus at the upper lid was shown due to atrophic change. (B) Ultrasound sonography revealed no intraocular echogenecity.

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