title: Periorbital ecchymosis as a sign of perforating injury of the globe.
abstract: The distinction between penetrating eye injury with retained intraocular foreign body and perforating globe injuries is not always easy clinically. The case is presented of a 25-year-old man who sustained a perforating eye injury that was through a clear self-sealing corneal entry site and had no conjunctival or periorbital injury. He had periorbital ecchymosis on presentation suggesting that the globe had been perforated with resulting retro-orbital blood tracking to the periorbital region. This sign would not be expected had the foreign body remained intraocular. The management options of these cases are discussed.
authors.affiliation: Department of Vitreoretinal Surgery, Moorfields Eye Hospital, London, UK. snouri@doctors.org.uk
authors.forename: Seyed M
authors.initials: SM
authors.lastname: Ghazi-Nouri
authors.forename: Brendan J
authors.initials: BJ
authors.lastname: Vote
authors.forename: Paul M
authors.initials: PM
authors.lastname: Sullivan
mesh_terms: D000328:Adult; D002386:Cataract / Q000175:diagnosis; D002387:Cataract Extraction; D065306:Corneal Injuries; D004438:Ecchymosis / Q000175:diagnosis* / Q000601:surgery; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014821:Vitrectomy