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Penetrating Orbital Injuries: A Review
Faizullah Mashriqi1, Joe Iwanaga2, Marios Loukas3
1Department of Molecular, Cellular and Biomedical Sciences, CUNY School of Medicine.
Cureus
|December 5, 2017
Summary
Penetrating orbital injuries are complex head injuries requiring multidisciplinary care. This study systematically reviews complications based on the entry point of orbital trauma.
Area of Science:
- Ophthalmology
- Neurosurgery
- Trauma Surgery
Background:
- Penetrating orbital injuries are uncommon but complex, involving vital structures.
- Existing literature lacks a systematic approach to associated complications.
- Multidisciplinary follow-up is crucial for all penetrating orbital injuries.
Purpose of the Study:
- To systematically present complications of penetrating orbital injuries.
- To categorize complications based on the specific orbital entry mode.
Main Methods:
- Literature review of penetrating orbital injury cases.
- Classification of injuries by entry point: superior, inferior, medial, lateral orbital rims, and extraorbital entry.
Main Results:
- Complications vary significantly depending on the trajectory of the penetrating object.
- Specific patterns of injury and associated risks identified for each entry mode.
Conclusions:
- A systematic approach is needed to manage and understand complications of penetrating orbital injuries.
- Understanding entry-mode-specific complications aids in targeted treatment and improved patient outcomes.

