title: Self-inserted intraorbital foreign bodies.
abstract: We report an unusual case of self-mutilation by insertion of multiple foreign bodies in the orbit. A 26-year-old female psychiatric patient with a severe emotionally unstable personality disorder was reviewed in the ophthalmology clinic. She had allegedly inserted a metal staple into her right eye 2 days previously and was complaining of pain around the right eye. Radiography showed multiple foreign bodies in the right orbit and one in the left orbit. Self-mutilation in psychiatric patients has been well documented. The management of nonorganic, nontoxic intraorbital foreign bodies is discussed. A low threshold for imaging in these cases is of vital importance.
authors.affiliation: Oxford Eye Hospital, Radcliffe Infirmary, Oxford, United Kingdom. arubinstein@btinternet.co.uk
authors.forename: Adrian
authors.initials: A
authors.lastname: Rubinstein
authors.forename: Claire E
authors.initials: CE
authors.lastname: Riddell
authors.forename: Namir
authors.initials: N
authors.lastname: Kafil-Hussain
authors.forename: Ahmed
authors.initials: A
authors.lastname: Assaf
mesh_terms: D000328:Adult; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology*; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D012652:Self Mutilation / Q000000981:diagnostic imaging / Q000209:etiology*