Presentation
Shoe lodged in left eye socket.
Patient Data
Age: 20 years
Gender: Female
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Scout view shows a stiletto shoe through the orbit.
From the case:
Orbital foreign body: stiletto shoe
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- left infraorbital canal/orbital floor and posterior wall of the left maxillary sinus fractures along with left maxillary hemosinus due to embedded high heel containing metal rod through the left orbit inferior nasal quadrant
- optic nerve as well as superior and medial rectus muscles appear intact
- due to extensive streak artifact it is difficult to assess for globe, as well as inferior and lateral rectus injury
Case Discussion
The stiletto was manually removed under general anesthesia (see reference below for description).
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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