Intraorbital organic foreign body in a tree surgeon.

A tree surgeon suffered a traumatic floor fracture complicated by multiple organic foreign bodies. CT confirmed a left floor fracture and medial wall fracture and decreased attenuation in the inferior orbit and maxillary sinus. Exploration of the orbital floor led to the removal of multiple wooden fragments up to 2.

A case report of bilateral autoenucleation and its prevention.

Purpose: To report a case and review both the ophthalmic and psychiatric literature to document the pattern of this self-mutilation and review prevention techniques.

Design: Case report and retrospective review.

Interventions: Surgical repair of the orbits in a patient who autoenucleated both eyes.

A study of Gulf War veterans with a possible deployment-related syndrome.

A previous symptom-based survey of veterans of the 1990-1991 Persian Gulf War suggested a neurological syndrome (blurred vision, loss of balance/dizziness, tremors/shaking, and speech difficulty). The authors conducted the present study to determine whether specific findings could indicate an organic basis for this possible syndrome. They completed an extensive clinical and laboratory evaluation on Gulf War veterans with all 4 symptoms, using 3 comparison groups.

Sphenocavernous syndrome associated with Schizophyllum commune infection of the sphenoid sinus.

A 47-year-old diabetic man with chronic renal failure presented with a 1-month history of complete ptosis of the left upper eyelid, left proptosis, and left-sided headache. During the course of the patient's care, other significant diagnoses were excluded, such as orbital inflammatory syndrome, carotid-cavernous syndrome, and cavernous sinus thrombosis. Neuroimaging revealed only minimal left sphenoid sinus disease.

Orbital myositis associated with Borrelia burgdorferi (Lyme disease) infection.

Objective: To report on the clinical findings in a patient with isolated left inferior rectus myositis associated with serologically confirmed Borrelia burgdorferi infection.

Design: Interventional case report.

Testing: Comprehensive clinical, laboratory, and imaging evaluation.