Bone from an orbital floor fracture causing an intraocular foreign body.
OBJECTIVE
To describe the ophthalmoscopic and radiologic findings of a patient who sustained blunt orbital trauma. A piece of bone from the fractured orbital wall caused an intraocular foreign body.


METHODS
Case report.


METHODS
An 18-year-old man underwent full ophthalmoscopic examination 1 week after sustaining blunt ocular trauma to the right eye while playing basketball. B-scan ultrasonography and computed tomography of the orbits were also performed.


RESULTS
Visual acuity, intraocular pressure, and anterior segment examination were normal. Funduscopic examination revealed a fragment of bone that had penetrated the sclera, choroid, and retina. A hole in the sclera was visible. No treatment was performed. Three months later, the patient had no ocular complaints or complications as a result of this injury.


CONCLUSIONS
Bone from a patient's orbit may cause an intraocular foreign body that may be followed conservatively in certain circumstances.
Garg
Sunir J
SJ
Barnes Retina Institute, Department of Ophthalmology, Washington University, St. Louis, Missouri 63144, USA. garg@vision.wustl.edu
Benson
William
W
Fineman
Mitchell
M
Bilyk
Jurij R
JR
D000293:Adolescent; D001490:Basketball / Q000293:injuries*; D002829:Choroid / Q000293:injuries; D005129:Eye Foreign Bodies / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D009915:Orbit / Q000293:injuries* / Q000473:pathology; D009917:Orbital Fractures / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012160:Retina / Q000293:injuries; D012590:Sclera / Q000293:injuries; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography