Unexpected Finding in Ocular Surface Trauma: A Large Intraorbital Foreign Body (Bullet)

Acta Medica

Emmanouil K. Symvoulakis¹  Efstathios T. Detorakis²  Ekaterini Halkia²  Miltiadis K. Tsilimbaris²  Eleni Drakonaki³ 

[1] University General Hospital of Heraklion, Greece: Blood Donation Department;University General Hospital of Heraklion, Greece: Department of Ophthalmology;University General Hospital of Heraklion, Greece: Department of Radiology;

关键词: Ocular surface trauma;    Orbit;    Foreign body;    Bullet;   

DOI  :  10.14712/18059694.2015.64

来源: DOAJ

【 摘 要 】

Sometimes intraorbital foreign bodies lead to unexpected findings. A 16-year old boy was referred due to ocular surface trauma. A conjunctival laceration was detected at the level of the left caruncle with associated left exotropia, reduced adduction as well as a preretinal hemorrhage along the nasal periphery of the fundus. A blow-out fracture of the medial orbital wall was suspected and a CT scan of the orbits was scheduled which revealed the presence of a large intraorbital foreign body. The removal of the intraorbital foreign body (which proved to be a bullet) and precautionary laser photocoagulation along the nasal periphery of the left eye were performed. Ocular surface trauma may reveal unexpected findings, such as an intraorbital foreign body, requiring investigation by a CT scan.

【 授权许可】

Unknown