Intraorbital Foreign Bodies: Clinical Features and Outcomes of Surgical Removal

Bilge, Ayşe Dolar; Yılmaz, Hakan; Yazıcı, Bülent; Naqadan, Faisal

doi:10.5505/tjtes.2016.20925

Cited by 11 publications

(16 citation statements)

References 15 publications

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“…The male dominance, the young age and the working accidents as leading cause of trauma were consistent with other series reported (22,29). Similar to ophthalmological (14), and maxillofacial series (29), the most of the foreign bodies were metallic.…”

Section: █ Discussionsupporting

confidence: 88%

Intraorbital penetrating and retained foreign bodies –a neurosurgical case series

Szabo

Paşcalău²,

Bartoè³

et al. 2019

Turkish Neurosurgery

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AIM: To present the particularities of the intraorbital foreign bodies from a neurosurgical perspective by summarizing the findings of a case series. MATERIAL and METHODS: A retrospective study was conducted including a consecutive series of 30 patients with intraorbital foreign bodies treated between 1999 and 2017. Statistical analysis was performed in order to characterize the factors that influence the location of the foreign bodies and the clinical signs. RESULTS: The orbital trauma occurred mostly in working accidents. Multiple intraorbital foreign bodies were found in 23.3% of the patients. Metallic foreign bodies were seen in 66.6%, and 30% had wooden foreign bodies. Nonmetallic foreign bodies were significantly associated with displacement of the eyeball, palpebral oedema and upper lid ptosis. Posterior orbit location was associated with displacement of the eyeball and conjunctival hemorrhage. Intraconal location was associated with mydriasis and conjunctival hemorrhage. The posterior orbit was occupied by foreign bodies in 63% of the patients. The foreign bodies were in the extraconal compartment in 55.55% of the cases. Small foreign bodies tend to be retained in the anterior orbit while large ones tend to be retained in the posterior orbit. CONCLUSION: The diagnosis and management of intraorbital foreign bodies must be tailored according to their type and location and to the clinical aspect of the patient.

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Section: █ Discussionsupporting

confidence: 88%

Intraorbital penetrating and retained foreign bodies –a neurosurgical case series

Szabo

Paşcalău²,

Bartoè³

et al. 2019

Turkish Neurosurgery

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“…Guidance on the management of IOWFBs is limited to case reports and series, due to their infrequent occurrence. Organic foreign bodies make up a small proportion of IOFB cases, with a recent series of traumatic IOFBs requiring surgery identifying wood in 21% of cases …”

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confidence: 99%

Traumatic intraorbital wooden foreign body: Lessons learnt

Curragh

Selva

2018

Clinical Exper Ophthalmology

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“…Furthermore, when a foreign body is retained in the orbit, management becomes even more complicated. The specific management is dependent on the structures injured as well as the intrinsic material of the foreign body, in addition to the size and the location of the foreign body [1,[3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…OD: full with no defect; OS: large central and cecocentral defect with superior and inferior nasal steps. 4 Case Reports in Ophthalmological Medicine passing since the incident of trauma. In addition, there are no convincing data that steroids provide any additional visual benefit over observation alone [9].…”

Section: Case Reports In Ophthalmological Medicinementioning

confidence: 99%

Management of an Unusual Orbitocranial Penetrating Injury

Yin

Dhanireddy

Braley

2020

Case Reports in Ophthalmological Medicine

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Background. An intraorbital injury with a blunt penetrating intraorbital foreign body (IOFB) is an unusual cause of penetrating trauma. This type of trauma is considered a surgical emergency given the risk to vision in addition to potential intracranial injuries such as vascular injury, dural laceration, and neurologic injury. A thorough history and physical exam, along with careful radiographic and multidiscipline intervention, is crucial in providing the patient the most appropriate care. Case Presentation. A 66-year-old male presented to the emergency room (ER) after falling down the stairs and suffering an orbitocranial penetrating injury. He underwent urgent fluoroscopy-guided foreign body removal with a multidisciplinary team after a workup revealed no significant ocular or intracranial injuries. The foreign body was removed with an anterior approach without any complications. Conclusion. In this study, we demonstrated that IOFB in proximity to orbitocranial structures requires a careful multidisciplinary team approach. An interventional radiology- (IR-) guided approach in extracting the foreign body is essential to prevent further injury. A high dose of intravenous steroid was not used due to initial suspicion of intracranial involvement. Prompt removal decreased risk of further vision loss.

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Intraorbital Foreign Bodies: Clinical Features and Outcomes of Surgical Removal

Abstract: BACKGROUND: The present study is an evaluation of clinical features and management outcomes of patients operated on for intraorbital foreign bodies (FBs).

Cited by 11 publications

References 15 publications

Intraorbital penetrating and retained foreign bodies –a neurosurgical case series

Intraorbital penetrating and retained foreign bodies –a neurosurgical case series

Traumatic intraorbital wooden foreign body: Lessons learnt

Management of an Unusual Orbitocranial Penetrating Injury

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