Schmuter G, Stern EM, Packles M. Considerations for a Retained Foreign Body in the Posterior Orbital Apex.
Cureus 2021;
13:e19228. [PMID:
34877206 PMCID:
PMC8641400 DOI:
10.7759/cureus.19228]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2021] [Indexed: 12/03/2022] Open
Abstract
Orbital foreign bodies must be approached with complex considerations involving their precise location and composition in order to adequately guide management. Physicians must carefully weigh the advantages and risks of surgical and medical intervention compared to conservative management. We present a case of a male patient with penetrating trauma to the eye that resulted in open globe injury and orbital foreign body, presumed metallic, at the posterior orbital apex near the optic nerve. As such, despite the uncertainty of the exact composition of the object, the medical team and patient agreed to conservative management given its high-risk anatomical location.
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