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Retained intra-orbital shotgun cartridge
Chun Cheng Lin1, Robert Goldberg, Marco Antonio Goens
1Unidad Nacional de Oftalmología, Hospital Roosevelt de Guatemala, Guatemala City. ccluislin@gmail.com
Ophthalmic Plastic and Reconstructive Surgery
|January 19, 2006
Summary
A man with a shotgun cartridge lodged in his right orbit after a gunshot wound underwent surgical removal and eye enucleation. This case highlights severe ocular trauma management.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Radiology
Background:
- Gunshot wounds to the eye are severe ocular emergencies.
- Alcohol intoxication can impair judgment and increase risk of traumatic injuries.
- Orbital foreign bodies require prompt diagnosis and management to prevent complications.
Observation:
- A 45-year-old male presented with a gunshot wound to the right eye.
- The patient's alcohol consumption at the time of injury was noted.
- Radiography confirmed a shotgun cartridge within the right orbit.
Findings:
- Surgical intervention was performed for the orbital foreign body.
- The shotgun cartridge was successfully removed from the orbit.
- Enucleation of the right eye was necessary due to the extent of the injury.
Implications:
- Early surgical removal of intraorbital foreign bodies is crucial.
- Ocular trauma management requires a multidisciplinary approach.
- Preservation of vision is often compromised in severe penetrating orbital injuries.
