Orbital foreign body: stiletto shoe

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Shoe lodged in left eye socket.

Patient Data

Age: 20 years
Gender: Female

CT scouts

Modality: X-ray

Stiletto shoe through the orbit. 

Modality: CT

IMPRESSION:

1. Left infraorbital canal /orbital floor and posterior wall of the left maxillary sinus fractures along with left maxillary hemosinus due to impaled boot high heel metal rod through the left orbit medial
inferior quadrant.
2. Optic nerve, superior, medial rectus appear intact.
3. Due to extensive streak artifact it is difficult to assess for globe and inferior, lateral rectus injury.

Case Discussion

See reference below for description of surgery

Repeat CT impression:

Interval removal of foreign body from the left orbit with orbital fractures as described before. Ocular globes, extraocular muscles, and optic nerves appear grossly intact.

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Case Information

rID: 49320
Case created: 20th Nov 2016
Last edited: 24th Nov 2016
Inclusion in quiz mode: Excluded

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