Periorbital ecchymosis as a sign of perforating injury of the globe.
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.
Ghazi-Nouri
Seyed M
SM
Department of Vitreoretinal Surgery, Moorfields Eye Hospital, London, UK. snouri@doctors.org.uk
Vote
Brendan J
BJ
Sullivan
Paul M
PM
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