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Peri-orbital foreign body: a case report.

Antonio Moretti¹, Melissa Laus, Domenico Crescenzi

¹ENT Department, University "G D'Annunzio" of Chieti-Pescara, Hospital "SS Annunziata", Via dei Vestini, I-66100 Chieti, Italy. amoretti@orl.unich.it.

Journal of Medical Case Reports

|March 28, 2012

Summary

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A rare case of a large, 6-cm metal object in the orbit resulted in minimal injury. This orbital foreign body incident highlights the potential for less severe outcomes despite significant object size.

Area of Science:

Ophthalmology
Trauma Surgery

Background:

Orbital foreign bodies are uncommon occurrences.
Complications vary based on the foreign body's characteristics and dimensions.

Purpose of the Study:

To report a unique case of a large peri-orbital foreign body.
To discuss the management and outcome of an unusual orbital injury.

Main Methods:

A case presentation of a 50-year-old male with a facial injury from an agricultural machine.
Computed tomographic (CT) scan identified a 6-cm metal object in the right orbit.
Surgical removal of the foreign body followed by antibiotic treatment.

Main Results:

The patient sustained a laceration to the right upper eyelid.

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A 6-cm bent metal object was found lodged in the lateral bulbar space.

The patient experienced a favorable recovery post-surgery and antibiotics.

Conclusions:

The case is notable for the unusual nature and large size of the foreign body.
Despite its dimensions, the orbital foreign body caused relatively minor complications.
This case underscores the importance of thorough evaluation in orbital trauma.