Percutaneous ultrasound-guided intraorbital foreign body removal.
Percutaneous ultrasound-guided intraorbital foreign body removal was successfully performed for removal of an intraorbital wooden foreign body. A 13-month-old boy presented with left periorbital cellulitis, which developed 3 days after a fall from an all-terrain vehicle. Orbital CT showed preseptal and postseptal orbital cellulitis, and an 11 x 2 mm linear foreign body in the medial compartment of the left eye. Surgical exploration of the left eye was performed, with no foreign body identified. Following surgery, diagnostic sonography demonstrated a linear foreign body adjacent to the medial rectus muscle, with sonographic characteristics compatible with wood. The percutaneous procedure was performed with intravenous deep sedation. With sonographic guidance, a Hartmann forceps was advanced in the medial soft tissues of the orbit, and the foreign body was removed intact. Ophthalmologic follow-up over 6 months revealed no evidence of visual loss, nerve injury, or impairment of extraocular muscle function.
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Jordan K
JK
Department of Radiology, Nationwide Children's Hospital, Nationwide Children's Hospital, Columbus, OH 43205, USA.
Shiels
William E
WE
Foster
Jill A
JA
Powell
Dwight A
DA
D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery*; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography