Self-inserted intraorbital foreign bodies.
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.
Rubinstein
Adrian
A
Oxford Eye Hospital, Radcliffe Infirmary, Oxford, United Kingdom. arubinstein@btinternet.co.uk
Riddell
Claire E
CE
Kafil-Hussain
Namir
N
Assaf
Ahmed
A
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*