Penetrating Retrobulbar Orbital Foreign Body: A Transcranial Approach

Chung, In‐Young; Seo, Seong-Wook; Han, Yong‐Seop; Kim, Eurie; Jung, Jin‐Myung

doi:10.3349/ymj.2007.48.2.328

Cited by 9 publications

(7 citation statements)

References 7 publications

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“…The endoscopic transnasal approach is used only by ear, nose, and throat surgeons (23). Neurosurgeons are familiar with the anterior and lateral approaches (34), and are the only specialists that perform the superior transfrontal approach, which provides good access to the orbital apex and less traction on the ocular globe, which is very important in cases of perforated globe (9). Foreign bodies located in the anterior orbit are usually removed using an anterior approach (22).…”

Section: █ Discussionmentioning

confidence: 99%

Intraorbital penetrating and retained foreign bodies –a neurosurgical case series

Szabo

Paşcalău²,

Bartoè³

et al. 2019

Turkish Neurosurgery

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AIM: To present the particularities of the intraorbital foreign bodies from a neurosurgical perspective by summarizing the findings of a case series. MATERIAL and METHODS: A retrospective study was conducted including a consecutive series of 30 patients with intraorbital foreign bodies treated between 1999 and 2017. Statistical analysis was performed in order to characterize the factors that influence the location of the foreign bodies and the clinical signs. RESULTS: The orbital trauma occurred mostly in working accidents. Multiple intraorbital foreign bodies were found in 23.3% of the patients. Metallic foreign bodies were seen in 66.6%, and 30% had wooden foreign bodies. Nonmetallic foreign bodies were significantly associated with displacement of the eyeball, palpebral oedema and upper lid ptosis. Posterior orbit location was associated with displacement of the eyeball and conjunctival hemorrhage. Intraconal location was associated with mydriasis and conjunctival hemorrhage. The posterior orbit was occupied by foreign bodies in 63% of the patients. The foreign bodies were in the extraconal compartment in 55.55% of the cases. Small foreign bodies tend to be retained in the anterior orbit while large ones tend to be retained in the posterior orbit. CONCLUSION: The diagnosis and management of intraorbital foreign bodies must be tailored according to their type and location and to the clinical aspect of the patient.

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Section: █ Discussionmentioning

confidence: 99%

Intraorbital penetrating and retained foreign bodies –a neurosurgical case series

Szabo

Paşcalău²,

Bartoè³

et al. 2019

Turkish Neurosurgery

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“…A transcranial approach, is necessary to remove orbital foreign bodies that are not readily removable because of their location, this approach is most likely to minimize complications, although the approach calls for technical competence and is time-consuming. [ 7 ] The Krönlein-Reese-Berk orbitotomy provides a satisfactory access to the lateral and posterior orbit, which is of particular importance in the case of a deeply penetrating foreign body (metallic or glass). Krönlein-Reese-Berk orbitotomy as it provides wider exposure of the orbital cavity and in fewer surgical complications.…”

Section: Discussionmentioning

confidence: 99%

An intraorbital metallic foreign body

Asif

Pohchi

Alam

et al. 2014

Indian J Ophthalmol

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A 30-year-old male presented with diplopia for 20 days post occupational accident involving left side of his nose, while he was working with a nail gun. He was fully conscious and did not have any neurological deficits. Patient narrated the mechanism of injury and was sure that the nail fell down after hitting the left side of his nose. He had normal vision, but extra ocular movements were restricted and painful. Computed tomography (CT) scan revealed a curved metal object lodged in the posterior aspect of the left orbit extending diagonally from medial wall to the anterior-superior aspect of the orbital roof. The object was removed via a small surgical approach, inflicting least possible surgical trauma. Post surgery, the patient recovered with complete resolution of diplopia. The original aspects of this case are the lack of signs of a foreign body entry and its relative harmlessness in spite of its large size.

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“…This line of management was supported by reports that early cataract extraction and intraocular lens implantation following penetrating eye wounds is justified and allows the patient to achieve a high visual acuity and is associated with a low rate of postoperative complications 1011. Ordinarily, nontoxic substances such as non-oxidizable non-magnetic foreign bodies (such as marble) are preferably left in place 12.…”

Section: Discussionmentioning

confidence: 99%

An unusual case of marble intraocular foreign body

Omoti

Dawodu

Ogbeide

2008

Middle East Afr J Ophthalmol

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This report presents a case of marble intraocular foreign body that developed toxic complications during surgery. The patient is a 25 years old male who presented to the University of Benin Teaching Hospital with a history of trauma to the right eye while cutting marble. He was examined, had an ocular ultrasound scan and subsequently had an extracapsular cataract extraction. His visual acuity in the right eye was light perception. There was an entry point on the cornea, the lens was opaque, there was vitreous haemorrhage and the intraocular foreign body was localized in the posterior part of the posterior segment by ultrasound scan. He had extracapsular cataract extraction. During anterior capsulotomy, the cornea suddenly and rapidly became cloudy with a brownish tinge and the corneal epithelium started desquamating.Marble on its own may not be toxic but the other chemicals including cement, used in the processing of the marble were responsible for this delayed toxicity. Ultrasound scan is valuable in localisation of intraocular foreign bodies.

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Penetrating Retrobulbar Orbital Foreign Body: A Transcranial Approach

Cited by 9 publications

References 7 publications

Intraorbital penetrating and retained foreign bodies –a neurosurgical case series

Intraorbital penetrating and retained foreign bodies –a neurosurgical case series

An intraorbital metallic foreign body

An unusual case of marble intraocular foreign body

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