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A 55-mm object inside a 40-mm orbit.

Anne M Floyd1, Katherine M Whipple, Lee Hooi Lim

  • 1Division of Oculofacial Plastic and Reconstructive Surgery, UCSD Department of Ophthalmology , La Jolla, California , USA and.

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A surfer experienced a blow to the eye, resulting in a retained fiberglass foreign body in the orbit. Prompt surgical removal was necessary to address vision disturbances and orbital complications.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Oculoplastics

Background:

  • Orbital trauma can result from various mechanisms, including sports-related injuries.
  • Accurate diagnosis of orbital foreign bodies is crucial for preventing long-term complications.

Observation:

  • A 43-year-old male surfer presented with a laceration above the left eyebrow after being struck by his surfboard.
  • The patient reported diplopia (double vision) with upgaze and exhibited hypoglobus (downward displacement of the eye).

Findings:

  • Orbital computed tomography (CT) revealed a hyperintense linear signal within the orbit.
  • Surgical exploration successfully removed a 55-mm fiberglass fragment from the patient's orbit.

Implications:

  • This case highlights the necessity of a high index of suspicion for retained orbital foreign bodies in cases of orbital trauma.
  • Early detection and surgical intervention are vital for managing orbital foreign bodies and preserving visual function.