患者余×,男,7岁.住院号941801,3月前被木片刺伤左眼眶,在镇卫生院行清创缝合术.术后上睑内侧形成一瘘口,反复流出少量脓性分泌物,曾先后到几家医院就医,均诊为伤口感染给予抗生素治疗,症状未见好转.体检:体温正常,心肺无异常,右眼正常.左眼视力1.0,内眦至上眼睑有一条长22mm瘢痕、瘢痕中段有一瘘口,表面盖脓痂,挤压局部有少许脓性分泌物.眼睑微肿、变硬、稍下垂,活动尚好,未见隆起及包块.泪道、结膜、角膜、前房、虹膜、瞳孔均无异常.眼球向上向内活动受限.探针从瘘口探入10mm可触及一硬性异物.在全麻下,按左上睑瘢痕作切口,术中见上睑提肌部份断裂,局部瘢痕形成,在眼球赤道部水 Patient Yu ×, male, 7 years old. Hospital number 941801, 3 months ago stabbed left orbit in the town hospital debridement and suturing .Postoperative upper eyelid to form a fistula, repeated the discharge of a small amount of purulent secretions , Has been to several hospitals for treatment, were diagnosed with wound infection given antibiotics, the symptoms did not improve.Physical examination: normal body temperature, no abnormal heart and lung, right eye is normal .Left eye visual acuity 1.0, infantile upper eyelid has a long 22mm scar , The middle of the scar has a fistula, the surface covered with pus scab, squeezing a small local purulent discharge eyelid slightly swollen, hard, slightly drooping, activity is good, no bulge and mass. Lacrimal duct, conjunctiva, cornea, Room, iris, pupil no abnormalities .Height upward movement of the eye is limited.The probe from the fistula into the 10mm can reach a hard foreign body .At the general anesthesia, according to the left upper eyelid scar incision, surgery see the levator muscle Partial rupture, local scarring, water in the eyeball equator