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Three-Dimensional Reconstruction of Orbital Fractures
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An extraordinary orbital foreign body.

Milind N Naik1, Sima Das, Fasina Oluyemi

  • 1Division of Ophthalmic and Plastic Surgery, LV Prasad Eye Institute, Hyderabad, India. milnaik@gmail.com

Ophthalmic Plastic and Reconstructive Surgery
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Summary
This summary is machine-generated.

A motorbike handle impaled a man's face, causing blindness in both eyes. Surgeons successfully removed the foreign body, restoring vision to the right eye.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Neurosurgery

Background:

  • Orbital foreign bodies are uncommon, with severe injuries often resulting from high-velocity impacts.
  • Penetrating orbital trauma can lead to significant visual impairment and life-threatening complications.

Observation:

  • A 30-year-old male presented with sudden bilateral vision loss, proptosis, and motility restriction after a motorcycle accident.
  • A 7-cm motorbike handle was identified as a bilateral orbital foreign body lodged in the retrobulbar space, near the optic nerves and cribriform plate.

Findings:

  • Surgical removal of the motorbike handle via left lateral orbitotomy was successfully performed.
  • The patient regained normal vision and function in the right eye following the procedure.

Implications:

  • This case highlights the critical importance of prompt diagnosis and management in severe orbital trauma.
  • The successful removal of a large, bilateral orbital foreign body underscores the capabilities of advanced surgical techniques in complex cases.
  • Such injuries necessitate a multidisciplinary approach involving ophthalmology, neurosurgery, and trauma surgery for optimal outcomes.