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[Intraorbital foreign body].
1Unité médicale du segment antérieur rétine, service d'ophtalmologie, centre François-Xavier-Michelet, CHU Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France. clementpaya@hotmail.com
Journal Francais D'Ophtalmologie
|September 21, 2010
Summary
A wooden intraorbital foreign body (arrow) injury was successfully managed. CT imaging precisely mapped the trajectory, preventing complications and ensuring a favorable outcome.
Area of Science:
- Ophthalmology
- Radiology
- Trauma Surgery
Background:
- Perforative intraorbital injuries pose significant risks, necessitating prompt and accurate assessment.
- Management strategies are dictated by the projectile's nature and its path within the orbit.
- Medical imaging plays a crucial role in the initial evaluation of such injuries.
Observation:
- This case report details a wooden intraorbital foreign body, specifically an arrow.
- The foreign body followed a notable intraorbital trajectory.
- Computed Tomography (CT) was utilized to analyze the trajectory.
Findings:
- The patient experienced no functional or anatomical deficits following the injury.
- The CT scan provided a detailed visualization of the arrow's intraorbital path.
- No immediate mechanical or infectious complications were observed.
Implications:
- Intraorbital foreign bodies carry risks of mechanical damage (globe, nerves, muscles, bone) and infection.
- Advanced imaging like CT and MRI is vital for detailed trajectory analysis.
- Prophylactic broad-spectrum antibiotics are essential to mitigate infectious risks, particularly given orbital fat's role in promoting infection.
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