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Choi, Lee, Cho, Park, and Yoon: A Case of a Stone in the Conal Space of the Orbit
Case Report
Chonnam Medical Journal

Chonnam Medical Journal 2009; 45(2): 140-143.

Published online: 12 August 2009

DOI: https://doi.org/10.4068/cmj.2009.45.2.140

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

Won Choi, Seung-Hyun Lee, Jae-Kap Cho1, Yeong-Geol Park, Kyung-Chul Yoon

Department of Ophthalmology, Chonnam National University Medical school and Hospital, Gwangju, Korea.

1Department of Ophthalmology, Seonam University College of Medicine, Namwon, Korea.

Corresponding author (kcyoon@chonnam.ac.kr)

      Accepted 26 March 2009

Copyright © 2009 Chonnam National University Medical School

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 2.0×1.2 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.

Keywords: Orbit, Stone, Perforation

Figures and Tables

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.
cmj-45-140-g003

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