CASE REPORT ORBITAL FOREIGN BODY IN ASE OF OCULAR PERFORATING TRAUMA

Thanh Nam Nguyễn, Thị Cẩm Vân Biện, Tường Trí Hải Tôn

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Abstract

Diagnosis and management of complex intraorbital foreign body in a patient with perforating ocular injury. We report the challenging case of a large metallic foreign body located in the posterior ethmoid sinuses, near the optic canal of left orbital in a patient following perforating ocular injury caused by slingshot. A 22-year-old female patient, presented to us with no light perception in the left eye caused by slingshot. Orbital CT Scan showed a large intraorbital foreign body located in the posterior ethmoid sinuses, near the optic canal of left orbital. She was treated by intravenous broad spectrum antibiotics and corticosteroids. The large laceration at the posterior pole could not be closed, the patient underwent eye enucleation and foreign body removal. She was discharged from hospital after 15 days of treatment with no signs of postoperative infection. Most perforating ocular injuries involving with forgein bodies. Thus, suspicions are crucial to defining the diagnosis. An accurate and detailed history, trauma mechanism as well as CT Scan of the orbit, which are the first – choices

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References

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