Pediatric ocular trauma: intraorbital foreign body. Case report

• Main Authors: César Augusto Zuluaga-Orrego, Camilo Alberto Caicedo-Montaño, María Paula Alba-Bernal, Vanesa Acosta-Velásquez, Daniela Reyes-Vergara, Juan Sebastián Santander-Guerrero
• Format: Article
• Language: English
• Published: Universidad Nacional de Colombia 2019-01-01
• Series: Case Reports
• Subjects: Craniocerebral Trauma; Orbit; Penetrating Eye Injuries; Penetrating Head Injuries; Penetrating Brain Injuries; Eye Foreign Bodies.
• Online Access: https://revistas.unal.edu.co/index.php/care/article/view/75001

Introduction: Penetrating traumas in the orbit and intraorbital foreign bodies during pediatric age are rare and could be associated with vascular and optic nerve injuries. Clinical case: Five-year-old female patient with penetrating trauma in left orbit of 1 hour of evolution caused by a brush after accidentally tripping with a classmate while painting during art class. The patient was taken the pediatric emergency department of the Clinica Universitaria Colombia in Bogotá where she was admitted, assessed with scanographic studies and taken to surgery to remove the intraorbital foreign body. Discussion: The case of this patient was characterized by indemnity of the eyeball, central artery and vein of the retina and optic nerve, in addition to timely and interdisciplinary management that reduced the risk of complications. Conclusions: The analysis of the clinical evolution of the patient allowed identifying the key events to approach this type of cases, as well as the multiple management and prognosis alternatives according to the type and trajectory of the penetrating object.