Intraorbital Foreign Body: Clinical Presentation, Radiological Appearance and Management

Intraorbital foreign bodies usually occur after a high velocity injury such as gunshot or industrial accidents; more rarely they occur following trivial trauma. A retained foreign body can give rise to serious complications, the most devastating of which is loss of the eye. This retrospective, inter...

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Main Authors: Abdullah Al-Mujaini, Rana Al-Senawi, Anuradha Ganesh, Sana Al-Zuhaibi, Humoud Al-Dhuhli
Format: Article
Language:English
Published: Sultan Qaboos University 2008-03-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1325
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author Abdullah Al-Mujaini
Rana Al-Senawi
Anuradha Ganesh
Sana Al-Zuhaibi
Humoud Al-Dhuhli
author_facet Abdullah Al-Mujaini
Rana Al-Senawi
Anuradha Ganesh
Sana Al-Zuhaibi
Humoud Al-Dhuhli
author_sort Abdullah Al-Mujaini
collection DOAJ
description Intraorbital foreign bodies usually occur after a high velocity injury such as gunshot or industrial accidents; more rarely they occur following trivial trauma. A retained foreign body can give rise to serious complications, the most devastating of which is loss of the eye. This retrospective, interventional case report reviews the clinical features, radiological appearance and surgical management of two patients who presented at Sultan Qaboos University Hospital, Oman with intraorbital foreign bodies. Details of ocular history, preoperative ocular examination findings including visual acuity, surgical procedure and subsequent management were noted. The two patients, aged 10 years and 9 years old respectively, sustained orbital trauma with sharp objects. Both patients were found to have intraorbital foreign bodies that were documented clearly by computed tomography (CT) scans of the orbit. The first patient presented straight after injury, had no ocular involvement, underwent immediate surgical exploration and ended up with full recovery. The second patient presented to us after a delay of 4 days, and was found to have endophthalmitis. This patient ultimately lost all visual function in the affected eye. A CT scan is the modality of choice for orbital foreign body detection and localization. Early surgical exploration and foreign body extraction greatly influence the visual prognosis and final outcome.
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spelling doaj.art-e25ad077c12142ebadf530143e1ea9b32022-12-22T01:18:25ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282008-03-018169741253Intraorbital Foreign Body: Clinical Presentation, Radiological Appearance and ManagementAbdullah Al-Mujaini0Rana Al-Senawi1Anuradha Ganesh2Sana Al-Zuhaibi3Humoud Al-Dhuhli4Departments of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Sultanate of OmanDepartments of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Sultanate of OmanDepartments of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Sultanate of OmanDepartments of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Sultanate of OmanDepartments of Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Sultanate of OmanIntraorbital foreign bodies usually occur after a high velocity injury such as gunshot or industrial accidents; more rarely they occur following trivial trauma. A retained foreign body can give rise to serious complications, the most devastating of which is loss of the eye. This retrospective, interventional case report reviews the clinical features, radiological appearance and surgical management of two patients who presented at Sultan Qaboos University Hospital, Oman with intraorbital foreign bodies. Details of ocular history, preoperative ocular examination findings including visual acuity, surgical procedure and subsequent management were noted. The two patients, aged 10 years and 9 years old respectively, sustained orbital trauma with sharp objects. Both patients were found to have intraorbital foreign bodies that were documented clearly by computed tomography (CT) scans of the orbit. The first patient presented straight after injury, had no ocular involvement, underwent immediate surgical exploration and ended up with full recovery. The second patient presented to us after a delay of 4 days, and was found to have endophthalmitis. This patient ultimately lost all visual function in the affected eye. A CT scan is the modality of choice for orbital foreign body detection and localization. Early surgical exploration and foreign body extraction greatly influence the visual prognosis and final outcome.https://journals.squ.edu.om/index.php/squmj/article/view/1325eye injuries, penetratingcase reportoman
spellingShingle Abdullah Al-Mujaini
Rana Al-Senawi
Anuradha Ganesh
Sana Al-Zuhaibi
Humoud Al-Dhuhli
Intraorbital Foreign Body: Clinical Presentation, Radiological Appearance and Management
Sultan Qaboos University Medical Journal
eye injuries, penetrating
case report
oman
title Intraorbital Foreign Body: Clinical Presentation, Radiological Appearance and Management
title_full Intraorbital Foreign Body: Clinical Presentation, Radiological Appearance and Management
title_fullStr Intraorbital Foreign Body: Clinical Presentation, Radiological Appearance and Management
title_full_unstemmed Intraorbital Foreign Body: Clinical Presentation, Radiological Appearance and Management
title_short Intraorbital Foreign Body: Clinical Presentation, Radiological Appearance and Management
title_sort intraorbital foreign body clinical presentation radiological appearance and management
topic eye injuries, penetrating
case report
oman
url https://journals.squ.edu.om/index.php/squmj/article/view/1325
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AT anuradhaganesh intraorbitalforeignbodyclinicalpresentationradiologicalappearanceandmanagement
AT sanaalzuhaibi intraorbitalforeignbodyclinicalpresentationradiologicalappearanceandmanagement
AT humoudaldhuhli intraorbitalforeignbodyclinicalpresentationradiologicalappearanceandmanagement