title: Penetrating Orbital Injury From a Needlefish.
abstract: Orbital penetrating injuries are an unfortunately common occurrence; however, those from marine animals are rare. Injuries from marine animals can be quite profound and there are no known reports of complete visual recovery after an orbital penetrating injury. Complications range from secondary infection to a carotid-cavernous fistula, which can complicate the management of these patients. We report a case of penetrating orbital injury from a needlefish with complete return of visual function after surgical removal of foreign debris and an extended course of antibiotics.
authors.affiliation: Department of Ophthalmology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708.
authors.forename: Kyle E
authors.initials: KE
authors.lastname: Miller
authors.affiliation: Department of Ophthalmology, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889.
authors.forename: Erin B
authors.initials: EB
authors.lastname: Coan
mesh_terms: D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D023761:Beloniformes; D002437:Cefazolin / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D004172:Diplopia / Q000209:etiology; D004242:Diving / Q000009:adverse effects; D024841:Fluoroquinolones / Q000627:therapeutic use; D005547:Foreign Bodies / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008889:Military Personnel; D000077266:Moxifloxacin; D011241:Prednisone / Q000627:therapeutic use; D017397:Prefrontal Cortex / Q000293:injuries* / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014950:Wounds, Penetrating / Q000209:etiology / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D024841:Fluoroquinolones; D002939:Ciprofloxacin; D000667:Ampicillin; D002437:Cefazolin; D000077266:Moxifloxacin; D011241:Prednisone