Clinical features and management of intraorbital foreign bodies

Fulcher, Timothy; McNab, Alan A.; Sullivan, Tim

doi:10.1016/s0161-6420(01)00982-4

Cited by 227 publications

(247 citation statements)

References 21 publications

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“…Intraorbital foreign bodies usually occur secondary to high velocity injuries, such as in gunshot or industrial accidents [2]. However, in cases where the trauma is deemed trivial, patients may not give a clear history of a penetrating injury.…”

Section: Discussionmentioning

confidence: 99%

“…Although X-ray is the initial imaging in cases of suspected intraorbital foreign bodies, computed tomography (CT) scan is the investigation of choice when there is a definitive history of penetrating injury, as even in cases of a radio-opaque object clearly visualised on X-ray, CT assists in planning of the surgical approach [2] [7]. It also enables to estimate the integrity of the orbital tissue and bone surrounding the foreign body.…”

Section: Discussionmentioning

confidence: 99%

“…Plain film radiography is an economical method of visualising radio-opaque objects, but computed tomography still remains the gold standard of initial imaging [2].…”

Section: Discussionmentioning

confidence: 99%

“…Patients with suspected intraorbital foreign body are usually started on systemic antibiotics because of the high incidence of secondary orbital infections [2]. Anaerobic coverage should be provided where the foreign body is suspected to be composed of organic material [12].…”

Section: Discussionmentioning

confidence: 99%

“…Likewise, surgical removal is indicated for all organic foreign bodies because of the high rate of secondary complications [2].…”

Section: Discussionmentioning

confidence: 99%

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Lower Lid Entropion Secondary to Missed Intraorbital Foreign Body in a Child

Othman¹,

Suraida²,

Tai³

et al. 2016

OJOph

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Background: Intraorbital foreign bodies can result in various complications if not appropriately managed. Aim: To report a case of lower lid entropion secondary to a missed intraorbital foreign body. Case Presentation: A 7-year-old boy presented with inward turning of the left lower lid for three days prior to admission. A week before, the child was in the garden when part of the roof of their home suddenly broke off, with pieces of the debris falling near him. He complained of left eye irritation, but a visit to a general practitioner found no eye abnormalities. Three days after that, the mother sought an ophthalmology opinion as she noticed inversion of the left lower lid. On examination, visual acuity in both eyes was 6/6. There was left lower lid entropion, and a deeply embedded foreign body seen in the lower lid. No other eye abnormalities noted. Computed tomography scan of the orbits revealed a welldefined foreign object in the lower orbit, fracturing the antero-superior wall of the left maxillary sinus. The left eye foreign body was removed uneventfully via a transconjunctival approach. Conclusion: A thorough examination is mandatory in any case of ocular trauma especially in young children, who are usually unable to provide a clear history of the injury.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Plain film radiography is an economical method of visualising radio-opaque objects, but computed tomography still remains the gold standard of initial imaging [2].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Likewise, surgical removal is indicated for all organic foreign bodies because of the high rate of secondary complications [2].…”

Section: Discussionmentioning

confidence: 99%

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