Case report on the successful removal of an organic penetrating object into the orbit
Abstract: The penetration of objects into the orbit can lead to blindness and even to the death of the patient. The penetration of organic objects longer than 7cm into the eye is a rare phenomenon. In this study, we report a case in which a 6-year-old boy fell on a pencil which penetrated the uppe...
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doaj-e1fe58213dc3420bbcb9395a4cd3d6972020-11-24T23:52:53ZengKermanshah University of Medical SciencesJournal of Injury and Violence Research2008-20532008-40722014-01-0161505210.5249/ jivr.v6i1.323Case report on the successful removal of an organic penetrating object into the orbitLeyla Rezae0Farid Najafi1Mehdi Moradinazar2Tooraj Ahmadijouybari3Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, IranDepartment of Epidemiology, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, IranAbstract: The penetration of objects into the orbit can lead to blindness and even to the death of the patient. The penetration of organic objects longer than 7cm into the eye is a rare phenomenon. In this study, we report a case in which a 6-year-old boy fell on a pencil which penetrated the upper side of his right eye orbit. Because of the agitation of the child and the lack of access, it was not possible to perform a brain or orbital computed tomography (CT) scan, but an X-ray showed that the object had gone directly into the retro-orbital space. As the result of a clinical diagnosis, it was possible to ascertain that the globe was severely hypertonic. Throughout this process the child was extremely agitated. After consultation with the neurosurgery service, the patient was rushed to the operation room. After anesthesia and superanasal peritomy, the pencil was removed slowly from the orbit. Neurology and CT scans after surgery didn’t show any ocular or brain symptoms. Once the patient’s general condition had improved sufficiently and his visual acuity had returned to 10/10, he was discharged from the hospital. This case shows that even without specialized tests, such as CT scans, an organ can be saved.http://jivresearch.org/jivr/index.php/jivr/article/view/323Orbit penetratingobjectCase reportSurgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Leyla Rezae Farid Najafi Mehdi Moradinazar Tooraj Ahmadijouybari |
spellingShingle |
Leyla Rezae Farid Najafi Mehdi Moradinazar Tooraj Ahmadijouybari Case report on the successful removal of an organic penetrating object into the orbit Journal of Injury and Violence Research Orbit penetrating object Case report Surgery |
author_facet |
Leyla Rezae Farid Najafi Mehdi Moradinazar Tooraj Ahmadijouybari |
author_sort |
Leyla Rezae |
title |
Case report on the successful removal of an organic penetrating object into the orbit |
title_short |
Case report on the successful removal of an organic penetrating object into the orbit |
title_full |
Case report on the successful removal of an organic penetrating object into the orbit |
title_fullStr |
Case report on the successful removal of an organic penetrating object into the orbit |
title_full_unstemmed |
Case report on the successful removal of an organic penetrating object into the orbit |
title_sort |
case report on the successful removal of an organic penetrating object into the orbit |
publisher |
Kermanshah University of Medical Sciences |
series |
Journal of Injury and Violence Research |
issn |
2008-2053 2008-4072 |
publishDate |
2014-01-01 |
description |
Abstract:
The penetration of objects into the orbit can lead to blindness and even to the death of the patient. The penetration of organic objects longer than 7cm into the eye is a rare phenomenon. In
this study, we report a case in which a 6-year-old boy fell on a pencil which penetrated the upper side of his right eye orbit. Because of the agitation of the child and the lack of access, it
was not possible to perform a brain or orbital computed tomography (CT) scan, but an X-ray showed that the object had gone directly into the retro-orbital space. As the result of a clinical
diagnosis, it was possible to ascertain that the globe was severely hypertonic. Throughout this process the child was extremely agitated. After consultation with the neurosurgery service, the patient was rushed to the operation room. After anesthesia and superanasal peritomy, the pencil
was removed slowly from the orbit. Neurology and CT scans after surgery didn’t show any ocular or brain symptoms. Once the patient’s general condition had improved sufficiently and his visual
acuity had returned to 10/10, he was discharged from the hospital. This case shows that even without specialized tests, such as CT scans, an organ can be saved. |
topic |
Orbit penetrating object Case report Surgery |
url |
http://jivresearch.org/jivr/index.php/jivr/article/view/323 |
work_keys_str_mv |
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