AI Article Synopsis

  • Penetrating intraorbital foreign bodies (IOFBs) result from high-velocity trauma and are considered surgical emergencies, requiring prompt diagnosis and management.
  • A 78-year-old male experienced vision loss after a high-velocity injury, which initially showed no IOFB on CT but later revealed an intracranial magnetic foreign body in the frontal lobe.
  • It is crucial to perform CT scans of both the brain and orbit for patients with high-velocity ocular trauma to avoid missing potential foreign bodies.

Article Abstract

Background: Penetrating intraorbital foreign body (IOFB) is usually associated with high-velocity trauma forces around the eye. IOFB injury to globe or optic nerve is considered a surgical emergency; an immediate diagnosis and management plan is generally indicated.

Methods: A case report (design). The patient was a 78-year-old male presented with diminution of vision of the right eye following a high-velocity injury. The patient was noted to have a closed globe injury with associated retinal detachment and vitreous hemorrhage. An initial orbital CT scan did not reveal any IOFB, despite and intact globe. However, repeat a CT head and orbit scan revealed an intracranial magnetic foreign body lodged in the right frontal lobe.

Conclusion: A CT scan of the brain and paranasal sinuses should be obtained along with a CT orbit in case of high-velocity orbital/ocular trauma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245452PMC
http://dx.doi.org/10.2147/IMCRJ.S246924DOI Listing

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