Presentation
Penetrating right eye injury. Presents with fixed dilated R) pupil and proptosis
Patient Data
Multiple right orbital foreign bodies with proptosis and globe elongation.
Multiple linear foreign bodies/fragments within the right orbit of varying size and location. These are located: (1) right retro-orbital space deep to superior rectus; (2) right lateral margin of the optic nerve orbital insertion; (3) inferolateral margin of the right globe adjacent to the orbital floor and another (4) at the inferior margin of this fragment; and (5) inferior orbital margin within the subcutaneous tissues.
Case Discussion
Proptosis of the right globe with elongation and extensive periorbital and retro-orbital stranding is in keeping with globe rupture, particularly in the setting of trauma.
Learning points:
- penetrating eye injury is a common cause of globe rupture
- CT findings suggestive of globe rupture include proptosis and globe elongation
- other CT findings observed in globe rupture include: collapsed globe (characteristic "mushroom" appearance), enlarged anterior chamber, and thick posterior sclera
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