PENETRATING ORBITAL TRAUMA – CASE REPORT
Keywords:
orbital trauma, wound, penetrating injury, foreign bodyAbstract
Penetrating orbital trauma (POT) includes injuries that affect the structures in the orbit caused by the penetration of an object at a certain speed. Due to the close communication of the orbit with the surrounding cranial structures, a multidisciplinary approach is necessary in the evaluation of these patients.
We present a case of a 42-year-old patient with a penetrating injury in the right orbit caused by a plastic foreign body that occurred during a traffic accident. After evaluation of vital parameters and imaging studies at the Emergency Surgical Center, an ophthalmological examination was performed. Pupil reaction to light was preserved, bulbus, extraocular muscles and optic nerve were intact, without penetration of the object into other cranial compartments. A surgical intervention was performed - extraction of the foreign body, achieved surrounding hemostasis and treatment of the entrance wound. Postoperatively, the patient was treated with local and systemic antibiotic and corticosteroid therapy as well as pain relief therapy. The best-corrected visual acuity of the follow-up ophthalmological examination was 6/6, with preserved bulbar motility, no eyelid ptosis and normal fundoscopic findings.
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