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Penetrating Orbital Injury; a Case Report and Treatment Algorithm
Mehrdad Dehghanpour Barouj1, Reza Tabrizi1, Parsa Behnia1
1Oral and Maxillofacial Surgery Department, Shahid Beheshti University of Medical Sciences, School of Dentistry, Tehran, Iran.
Archives of Academic Emergency Medicine
|April 8, 2020
Summary
Penetrating orbital trauma (POT) can cause severe vision loss. This case highlights the critical need for multidisciplinary care in managing complex orbital injuries, even after successful surgical intervention.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Penetrating orbital trauma (POT) encompasses both high and low-velocity injuries.
- POT accounts for a significant portion (30-50%) of all orbital injuries.
- Management of POT necessitates a multidisciplinary approach due to the intricate nature of orbital injuries.
Observation:
- A case of POT resulting from a knife injury is presented.
- The patient underwent surgical removal of the knife blade and successful bleeding control.
- Post-operative recovery showed a good general condition.
Findings:
- Despite surgical intervention and stabilization, the patient experienced complete vision loss in the right eye.
- The case underscores the potential for irreversible visual consequences in POT.
Implications:
- This case emphasizes the challenges in preserving vision following severe penetrating orbital trauma.
- Highlights the importance of prompt and comprehensive surgical and medical management.
- Reinforces the need for continued research into optimal treatment strategies for POT to improve visual outcomes.
