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Related Experiment Videos

Orbital socket pain after injury

F C Sutula, J J Weiter

    American Journal of Ophthalmology
    |November 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    A rare neuroma with cartilaginous metaplasia involving the supratrochlear nerve caused persistent orbital pain after a severe eye injury. Surgical excision of this nerve tumor successfully relieved the patient's symptoms.

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    Area of Science:

    • Ophthalmology
    • Neurology
    • Surgical Pathology

    Background:

    • Penetrating globe injuries can lead to severe complications such as total retinal detachment and neovascular glaucoma.
    • Persistent orbital pain following enucleation necessitates thorough investigation for underlying causes.

    Observation:

    • A patient presented with a blind, painful left eye post-penetrating injury, unresponsive to retrobulbar alcohol injection and enucleation.
    • Intraoperative findings revealed a neuroma with cartilaginous metaplasia involving the supratrochlear nerve.

    Findings:

    • The excised supratrochlear nerve neuroma with cartilaginous metaplasia was identified as the source of intractable orbital pain.
    • This represents the first documented case of such a specific nerve tumor causing post-injury orbital discomfort.

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    Implications:

    • Highlights the importance of considering unusual nerve pathologies in cases of refractory orbital pain after ocular trauma.
    • Suggests that supratrochlear nerve neuromas, even with cartilaginous metaplasia, are treatable surgical lesions.
    • Emphasizes the need for comprehensive histopathological examination in complex post-traumatic orbital cases.