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Self-inserted intraorbital foreign bodies
Adrian Rubinstein1, Claire E Riddell, Namir Kafil-Hussain
1Oxford Eye Hospital, Radcliffe Infirmary, Oxford, United Kingdom. arubinstein@btinternet.co.uk
Ophthalmic Plastic and Reconstructive Surgery
|March 22, 2005
Summary
This case study details a psychiatric patient who self-mutilated by inserting multiple foreign bodies into her orbits. Early imaging is crucial for managing these unusual intraorbital foreign bodies.
Area of Science:
- Ophthalmology
- Psychiatry
- Radiology
Background:
- Self-mutilation is a documented behavior in psychiatric patients.
- Orbital foreign bodies require careful management, especially when self-inflicted.
Observation:
- A 26-year-old female with emotionally unstable personality disorder presented with right orbital pain.
- She reported inserting a metal staple into her right eye.
- Radiography revealed multiple foreign bodies in the right orbit and one in the left orbit.
Findings:
- The case highlights an unusual presentation of self-mutilation involving intraorbital foreign bodies.
- Radiographic evidence confirmed the presence of multiple foreign objects within both orbits.
Implications:
- This case underscores the importance of a low threshold for imaging in suspected cases of intraorbital foreign bodies.
- Effective management strategies for nonorganic, nontoxic intraorbital foreign bodies in psychiatric patients are discussed.
- Prompt diagnosis and intervention are critical for preventing further ocular damage.