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Case 35: Orbital Foreign Body with Concern for Open Globe Requiring Exploration

  • Isaiah Giese
  • Thanos D. Papakostas
  • Seanna Grob
  • John B. Miller
Chapter

Abstract

A 17-year-old male presented with an orbital foreign body, tunneled conjunctival laceration, and a fundus exam with pre-retinal hemorrhage following a projectile injury. The limited view of the retina prevented exclusion of an open globe injury and the patient was taken to the operating room for exploration where the globe was found to be intact. In cases of ocular trauma where a limited examination prevents definitive exclusion of an open globe injury, the patient should be taken to the operating room for exploration.

Keywords

Open globe injury Intraorbital foreign body Orbital projectile Traumatic macular hole Commotio retinae 

References

  1. 1.
    Callahan AB, Yoon MK. Intraorbital foreign bodies: retrospective chart review and review of literature. Int Ophthalmol Clin. 2013;53(4):157–65.CrossRefPubMedGoogle Scholar
  2. 2.
    Miller JB, Yonekawa Y, Eliott D, Kim IK, Kim LA, Loewenstein JI, Sobrin L, Young LH, Mukai S, Vavvas DG. Long-term follow-up and outcomes in traumatic macular holes. Am J Ophthalmol. 2015;160(6):1255–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Blanch RJ, Good PA, Shah P, Bishop JR, Logan A, Scott RA. Visual outcomes after blunt ocular trauma. Ophthalmology. 2013;120(8):1588–91.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Isaiah Giese
    • 1
  • Thanos D. Papakostas
    • 1
  • Seanna Grob
    • 1
  • John B. Miller
    • 2
  1. 1.Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA
  2. 2.Vitreoretinal Surgery, Department of OphthalmologyHarvard Medical School, Massachusetts Eye and EarBostonUSA

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