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08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Penetrating orbital trauma by stiletto causing complex cranial neuropathies
G Cleary1, K K Nischal, C A Jones
1Ear, Eye and Mouth Unit, Maidstone Hospital, Maidstone, Kent, UK. geocle01@yahoo.com.au
Emergency Medicine Journal : EMJ
|March 22, 2006
Summary
Penetrating orbital injuries from sharp objects like stilettos can cause severe vision loss and nerve damage, even with small entry wounds. Always rule out deep orbital damage in such cases.
Area of Science:
- Ophthalmology
- Neurosurgery
- Trauma Surgery
Background:
- Penetrating orbital injuries are a significant cause of vision loss and ocular dysfunction.
- Sharp objects, such as stilettos, can inflict deep orbital damage through seemingly minor eyelid wounds.
Observation:
- Two cases of penetrating orbital injuries caused by stiletto objects are presented.
- Both injuries entered through small eyelid wounds, with no direct globe injury observed.
Findings:
- Traumatic optic neuropathy occurred in both patients, treated successfully with corticosteroids.
- Damage to the oculomotor (IIIrd) and abducens (VIth) cranial nerves was also noted.
Implications:
- Clinicians must maintain a high index of suspicion for deep orbital injuries in patients with small eyelid wounds from sharp objects.
- Prompt diagnosis and management are crucial to prevent irreversible vision loss and preserve ocular motility.
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