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Related Experiment Videos

Retained intraorbital metallic foreign bodies.

Viet H Ho1, Matthew W Wilson, James C Fleming

  • 1Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.

Ophthalmic Plastic and Reconstructive Surgery
|May 29, 2004
PubMed
Summary

Retained metallic orbital foreign bodies are generally well-tolerated with conservative management. Most patients experience stable or improved vision, with few late complications when the eye remains intact.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Medical Imaging

Background:

  • Metallic foreign bodies in the orbit can result from various injuries.
  • Conservative management is an option for retained intraorbital metallic foreign bodies.
  • Assessing biological tolerance and visual prognosis is crucial.

Purpose of the Study:

  • To document the biological tolerance of retained metallic orbital foreign bodies.
  • To evaluate the outcomes of conservative management for these injuries.
  • To determine the visual prognosis associated with retained intraorbital metallic foreign bodies.

Main Methods:

  • Retrospective chart review of 43 patients treated between 1987 and 1993.
  • Inclusion criteria: retained intraorbital metallic foreign bodies managed conservatively.

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  • Data collected: patient demographics, injury type, imaging, foreign body location, visual acuity, follow-up, treatment, and complications.

    • Main Results:

    • Fifty cases were analyzed, with injuries from gunshot, BB, and shotgun incidents.
    • Metallic foreign bodies were often located posterior to the globe.
    • Visual acuity remained stable or improved in all cases; 95% of intact eyes had no late complications.

    Conclusions:

    • Retained intraorbital metallic foreign bodies demonstrate good biological tolerance.
    • Conservative management is typically associated with a favorable visual prognosis.
    • Surgical removal should be reserved for specific indications.