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Management of Combined Penetrating Intraorbital and Intracranial Trauma

Management of Combined Penetrating Intraorbital and Intracranial Trauma Abstract Penetrating orbitocranial trauma is fortunately an uncommon type of injury.1,2 Intracranial extension of a foreign body can damage vascular and neural structures. Close cooperation between ophthalmologists and neurosurgeons is essential to maximize visual potential and minimize the risk of devastating neurologic complications. We report an unusual case of penetrating orbital injury with a foreign body extending deeply into the cranium. Report of a Case. —An 11-year-old boy presented with a penetrating orbital injury. While playing with a sled, a cord fabricated to pull it consisting of a length of rubber tubing ensheathing a shorter segment of steel rod gave way after a vigorous tug and was thrust into the right orbit.On examination a 5-cm portion of metal rod covered with rubber tubing was protruding from the area of the right medial canthus (Fig 1). Visual acuity was 20/200 OD with an 8-mm pupil with minimal light reactivity; however, References 1. Bard LA, Jarret WH. Intracranial complications of penetrating orbital injuries . Arch Ophthalmol . 1964;71:332-343.Crossref 2. Doucet TW, Harper DW, Rogers J. Penetrating orbital foreign body with intracranial involvement . Ann Ophthalmol . 1983;15:325-327. 3. Webster JE, Schneider RC, Lofstrom JE. Observations upon management of orbitocranial wounds . J Neurosurg . 1946;3:329-336.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Management of Combined Penetrating Intraorbital and Intracranial Trauma

Archives of Ophthalmology , Volume 111 (4) – Apr 1, 1993

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1993.01090040028017
Publisher site
See Article on Publisher Site

Abstract

Abstract Penetrating orbitocranial trauma is fortunately an uncommon type of injury.1,2 Intracranial extension of a foreign body can damage vascular and neural structures. Close cooperation between ophthalmologists and neurosurgeons is essential to maximize visual potential and minimize the risk of devastating neurologic complications. We report an unusual case of penetrating orbital injury with a foreign body extending deeply into the cranium. Report of a Case. —An 11-year-old boy presented with a penetrating orbital injury. While playing with a sled, a cord fabricated to pull it consisting of a length of rubber tubing ensheathing a shorter segment of steel rod gave way after a vigorous tug and was thrust into the right orbit.On examination a 5-cm portion of metal rod covered with rubber tubing was protruding from the area of the right medial canthus (Fig 1). Visual acuity was 20/200 OD with an 8-mm pupil with minimal light reactivity; however, References 1. Bard LA, Jarret WH. Intracranial complications of penetrating orbital injuries . Arch Ophthalmol . 1964;71:332-343.Crossref 2. Doucet TW, Harper DW, Rogers J. Penetrating orbital foreign body with intracranial involvement . Ann Ophthalmol . 1983;15:325-327. 3. Webster JE, Schneider RC, Lofstrom JE. Observations upon management of orbitocranial wounds . J Neurosurg . 1946;3:329-336.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1993

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