Intraorbital glass foreign body missed on CT imaging.
A 36-year-old woman presented with a 7-week history of foreign body sensation in the superior right orbit after orbital trauma sustained during an accidental face-down fall onto a broken drinking glass. CT identified a 10.35 x 3.91-mm radiopaque foreign body in the right orbit superolateral to the globe. Orbital exploration superficial to the levator palpebrae superioris aponeurosis in close proximity to the site occupied by the CT-identified foreign body revealed an additional glass intraorbital foreign body, 4.0 x 2.5 x 0.25 mm in dimension. The second glass foreign body was entirely missed on the preoperative, 1-mm axial scans combined with sagittal and coronal reconstructed images and plain radiography.
Figueira
Edwin C
EC
Ocular Plastics Unit, Department of Ophthalmology, Prince of Wales Hospital, High Street, Randwick, New South Wales, Australia.
Francis
Ian C
IC
Wilcsek
Geoffrey A
GA
D000058:Accidental Falls; D000328:Adult; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D005898:Glass; D006801:Humans; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed