[Intraorbital foreign body].
BACKGROUND
Perforative intraorbital injuries can be potentially serious, and management depends on the type of projectile and its intraorbital trajectory. Medical imaging is an imperative part of the initial assessment.


METHODS
We report the case of a wooden intraorbital foreign body (arrow), with no functional or anatomical consequences, with a remarkable intraorbital trajectory analyzed by CT.


CONCLUSIONS
The two main risks of these injuries are first mechanical, with possible bulb, nerve, muscle or bone complications, and second infectious. The CT scan or better yet MRI imaging provide a detailed analysis of the projectile's intraorbital trajectory in the orbital cavity. Infectious complications are promoted by the fat cells present in the orbit and must be systematically controlled with wide-spectrum antibiotics.
Paya
C
C
Unité médicale du segment antérieur rétine, service d'ophtalmologie, centre François-Xavier-Michelet, CHU Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France. clementpaya@hotmail.com
Pinsard
L
L
Buestel
C
C
Bocquet
J
J
Delyfer
M-N
MN
Colin
J
J
D002648:Child; D005129:Eye Foreign Bodies / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009915:Orbit