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[Intraorbital extrabulbar gunshot wounds]
Summary
Early surgery to remove lead bullets causing intraorbital, extrabulbar injuries can be successful. This report details two cases, discussing treatment indications, risks, and outcomes for orbital foreign body removal.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Intraorbital, extrabulbar injuries from projectiles pose significant management challenges.
- Lead bullets are dense foreign bodies that can cause severe ocular and orbital damage.
Observation:
- Two similar cases of patients sustaining intraorbital, extrabulbar injuries due to gunshot wounds from lead bullets were reported.
- Surgical intervention was performed for the removal of the embedded foreign bodies.
Findings:
- Early surgical removal of the lead bullet foreign bodies was indicated.
- The treatment involved assessing risks and determining the success of the surgical intervention.
- Literature review was conducted to support the management approach and outcomes.
Implications:
- Prompt surgical intervention for intraorbital lead bullet injuries may lead to favorable outcomes.
- Understanding the risks associated with retained foreign bodies is crucial for effective patient management.
- This case series contributes to the literature on managing complex orbital trauma.