Penetrating Orbital Injury; a Case Report and Treatment Algorithm
Archives of Academic Emergency Medicine,
Vol. 8 No. 1 (2020),
1 January 2020
,
Page e33
https://doi.org/10.22037/aaem.v8i1.582
Abstract
Penetrating orbital trauma (POT) consists of high and low velocity penetrating injuries that may lead to severe consequences such as visual impairment and globe tearing. It has been reported to make up 30% to 50% of all orbital injuries. POT requires a multidisciplinary approach due to complex orbital injury, which involves eye function, brain injury, and facial aesthetics. In this report, we presented a case of POT due to knife injury in which the knife blade was removed and bleeding was controlled, the patient’s general condition after surgery was good, but the vision of the right eye was lost.
- Wounds and injuries
- orbit
- head injuries
- penetrating
- optic nerve injuries
How to Cite
References
Gonullu ME, Filinte GT, Cardak NGA, Kucuk S, Akoz T. The surgical strategy for the intraorbital foreign bodies. Journal of Craniofacial Surgery. 2016;27(7):1785-8.
Chen J, Shen T, Wu Y, Yan J. Clinical characteristics and surgical treatment of intraorbital foreign bodies in a tertiary eye center. Journal of Craniofacial Surgery. 2015;26(6):e486-e9.
Dekker AP, El-Sawy AH, Rejali DS. An unusual transorbital penetrating injury and principles of management. Craniomaxillofacial trauma & reconstruction. 2014;7(4):310-2.
Salam A, Varma D, Innes J. An unusual presentation of a retained orbital foreign body. CME J Ophthalmol. 2005;8:11-2.
Loporchio D, Mukkamala L, Gorukanti K, Zarbin M, Langer P, Bhagat N. Intraocular foreign bodies: a review. Survey of ophthalmology. 2016;61(5):582-96.
Li J, Zhou L-P, Jin J, Yuan H-F. Clinical diagnosis and treatment of intraorbital wooden foreign bodies. Chinese Journal of Traumatology. 2016;19(6):322-5.
RATHOD R, MIELER W. An update on the management of intraocular foreign bodies. Retinal Physician. 2011;8(3):52-5.
Jonas JB, Knorr HL, Budde WM. Prognostic factors in ocular injuries caused by intraocular or retrobulbar foreign bodies. Ophthalmology. 2000;107(5):823-8.
Katz G, Moisseiev J. Posterior-segment intraocular foreign bodies: An update on management. Risks of infection, scarring and vision loss are among the many concerns to address Retinal Physician. 2009;20.
Di Roio C, Jourdan C, Mottolese C, Convert J, Artru F. Craniocerebral injury resulting from transorbital stick penetration in children. Child's Nervous System. 2000;16(8):503-6.
Mzimbiri JM, Li J, Bajawi MA, Lan S, Chen F, Liu J. Orbitocranial low-velocity penetrating injury: a personal experience, case series, review of the literature, and proposed management plan. World neurosurgery. 2016;87:26-34.
Turbin RE, Maxwell DN, Langer PD, Frohman LP, Hubbi B, Wolansky L, et al. Patterns of transorbital intracranial injury: a review and comparison of occult and non-occult cases. Survey of ophthalmology. 2006;51(5):449-60.
Schreckinger M, Orringer D, Thompson BG, La Marca F, Sagher O. Transorbital penetrating injury: Case series, review of the literature, and proposed management algorithm: Report of 4 cases. Journal of neurosurgery. 2011;114(1):53-61.
Swanson JL, Augustine JA. Penetrating intracranial trauma from a fishhook. Annals of emergency medicine. 1992;21(5):568-71.
- Abstract Viewed: 494 times
- PDF Downloaded: 172 times
- HTML Downloaded: 19 times