Advertisement

Orbital Foreign Bodies and Penetrating Orbital Injuries

  • Alan A. McNabEmail author
  • Khami Satchi
Chapter

Abstract

Penetrating orbital injuries with or without retained intraorbital foreign bodies (IOrbFBs) are uncommon but often dramatic injuries. In legend and history, there have been some notable examples of this type of trauma. Homer related how Odysseus, on his wanderings, visited the cave of the Cyclops, was imprisoned by one of them, Polyphemus, and was only able to escape by spearing the monster’s single eye, blinding him, and then escaping among the sheep and goats in the morning when the cave was opened to let them out. The blinded Polyphemus felt along the backs of the animals as they passed in an attempt to detect any escapees, but Odysseus evaded detection by slinging himself under the belly of the leading ram. At the Battle of Hastings in 1066, England’s King Harold famously sustained a penetrating orbital injury with an arrow but probably died of other injuries sustained on the battlefield.

Keywords

Foreign Body Paranasal Sinus Dermoid Cyst Cranial Cavity Superior Orbital Fissure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Martin G. The death of Henry II of France: a sporting death and post-mortem. Aust N Z J Surg. 2001;71:318–20.CrossRefGoogle Scholar
  2. 2.
    Al Hashmi A, Cheng A, Nikolarakos D, Goss A. Penetrating injuries to the orbit despite safety equipment. Br J Maxillofac Surg. 2009;47:71–2.CrossRefGoogle Scholar
  3. 3.
    Mader TH, Carroll RD, Slade CS, George RK, Ritchey JP, Neville SP. Ocular war injuries in the Iraqi insurgency, January – September 2004. Ophthalmology. 2006;113:97–104.PubMedCrossRefGoogle Scholar
  4. 4.
    Andreotti G, Lange JL, Brundage JF. The nature, incidence, and impact of eye injuries among US military personnel: implications for prevention. Arch Ophthalmol. 2001;119:1693–7.PubMedCrossRefGoogle Scholar
  5. 5.
    Green BF, Kraft SP, Carter KD, Buncic JR, Nerad JA, Armstrong D. Intraorbital wood. Detection by magnetic resonance imaging. Ophthalmology. 1990;97:608–11.PubMedCrossRefGoogle Scholar
  6. 6.
    Specht CS, Varga JH, Jalali MM, Edelstein JP. Orbitocranial wooden foreign body diagnosed by magnetic resonance imaging. Dry wood can be isodense with air and orbital fat by computed tomography. Surv Ophthalmol. 1992;36:341–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Adesanya OO, Dawkins DM. Intraorbital wooden foreign body (IOFB): mimicking air on CT. Emerg Radiol. 2007;14:45–9.PubMedCrossRefGoogle Scholar
  8. 8.
    Glatt HJ, Custer PL, Barrett L, Sartor K. Magnetic resonance imaging and computed tomography in a model of wooden foreign bodies in the orbit. Ophthal Plast Reconstr Surg. 1990;6:108–14.PubMedCrossRefGoogle Scholar
  9. 9.
    McGuckin Jr JF, Akhtar N, Ho VT, Smergel EM, Kubacki EJ, Villafana T. CT and MR evaluation of a wooden foreign body in an in vitro model of an orbit. Am J Neuroradiol. 1996;17:129–33.PubMedGoogle Scholar
  10. 10.
    Shelsta HN, Bilyk JR, Rubin PA, Penne RB, Carrasco JR. Wooden intraorbital foreign body injuries: clinical characteristics and outcomes in 23 patients. Ophthal Plast Reconstr Surg. 2010;26:238–44.PubMedCrossRefGoogle Scholar
  11. 11.
    Williamson MR, Espinosa MC, Boutin RD, Orrison Jr WW, Hart BL, Kelsey CA. Metallic foreign bodies in the orbits of patients undergoing MR imaging: prevalence and value of radiography and CT before MR. Am J Roentgenol. 1994;162:985–6.CrossRefGoogle Scholar
  12. 12.
    Boutin RD, Briggs JE, Williamson MR. Injuries associated with MR imaging: survey of safety records and methods used to screen patients for metallic foreign bodies before imaging. Am J Roentgenol. 1994;162:189–94.CrossRefGoogle Scholar
  13. 13.
    Murphy KJ, Brunberg JA. Orbital plain films as a prerequisite for MR imaging: is a known history of injury a sufficient screening criterion? Am J Roentgenol. 1996;167:1053–5.CrossRefGoogle Scholar
  14. 14.
    Seidenwurm DJ, McDonnell III CH, Raghavan N, Breslau J. Cost utility of radiographic screening for an orbital foreign body before MR imaging. Am J Neuroradiol. 2000;21:245–7.Google Scholar
  15. 15.
    Deen HG, Miller DA, Kostick DA, Jaeckle A. Removal of an orbital metallic foreign body to facilitate magnetic resonance imaging: technical case report. Neurosurgery. 2006;58:E999; discussion E999.PubMedCrossRefGoogle Scholar
  16. 16.
    Cho RI, Kahana A, Patel B, Sivak-Callcott J, et al. Intraoperative fluoroscopy-guided removal of orbital foreign bodies. Ophthal Plast Reconstr Surg. 2009;25:215–8.PubMedCrossRefGoogle Scholar
  17. 17.
    Fulcher TP, McNab AA, Sullivan TJ. Clinical features and management of intraorbital foreign bodies. Ophthalmology. 2002;109:494–500.PubMedCrossRefGoogle Scholar
  18. 18.
    Nasr AM, Haik BG, Fleming JC, Al-Hussain HM, Karcioglu ZA. Penetrating orbital injury with organic foreign bodies. Ophthalmology. 1999;106:523–32.PubMedCrossRefGoogle Scholar
  19. 19.
    Wang WJ, Li CX, Sebag J, Ni C. Orbital fistula. Causes and treatment of 20 cases. Arch Ophthalmol. 1983;101:1721–3.PubMedCrossRefGoogle Scholar
  20. 20.
    Danesh-Meyer HV, Savino PJ, Bilyk JR, Sergott RC, Kubis K. Gaze-evoked amaurosis produced by intraorbital buckshot pellet. Ophthalmology. 2001;108:201–6.PubMedCrossRefGoogle Scholar
  21. 21.
    Fezza J, Wesley R. The importance of CT scans in planning the removal of orbital-frontal lobe foreign bodies. Ophthal Plast Reconstr Surg. 1999;15:366–8.PubMedCrossRefGoogle Scholar
  22. 22.
    Finkelstein M, Legmann A, Rubin PAD. Projectile metallic foreign bodies in the orbit. A retrospective study of epidemiologic factors, management, and outcomes. Ophthalmology. 1997;104:96–103.PubMedCrossRefGoogle Scholar
  23. 23.
    Gönül E, Akbörü M, Izci Y, Timrkaynak E. Orbital foreign bodies after penetrating gunshot wounds: retrospective analysis of 22 cases and clinical review. Minim Invasive Neurosurg. 1999;42:207–11.PubMedCrossRefGoogle Scholar
  24. 24.
    Liu D, Shail EA. Retained orbital wooden foreign body. A surgical technique and rationale. Ophthalmology. 2002;109:393–9.PubMedCrossRefGoogle Scholar
  25. 25.
    Yoganathan P, Conti SM, Kavalec C. The use of intraoperative fluoroscopy as an aid for removal of radiopaque intraorbital foreign bodies. Ophthalmic Surg Lasers Imaging. 2008;39:436–7.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Orbital Plastic and Lacrimal ClinicRoyal Victorian Eye and Ear HospitalEast MelbourneAustralia

Personalised recommendations