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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
Introduction:
Perforative intraorbital injuries can be potentially serious, and management depends on the type of projectile and its intraorbital trajectory. Medical imaging is an imperative part of the initial assessment.
Observation:
We report the case of a wooden intraorbital foreign body (arrow), with no functional or anatomical consequences, with a remarkable intraorbital trajectory analyzed by CT.
Discussion:
The two main risks of these injuries are first mechanical, with possible bulb, nerve, muscle or bone complications, and second infectious. The CT scan or better yet MRI imaging provide a detailed analysis of the projectile's intraorbital trajectory in the orbital cavity. Infectious complications are promoted by the fat cells present in the orbit and must be systematically controlled with wide-spectrum antibiotics.
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