Intraorbital Penetrating and Retained Foreign Bodies – A Neurosurgical Case Series

Özet

AIM: To present the particularities of the intraorbital foreign bodies from a neurosurgical perspective by summarizing the findingsof a case series.MATERIAL and METHODS: A retrospective study was conducted including a consecutive series of 30 patients with intraorbitalforeign bodies treated between 1999 and 2017. Statistical analysis was performed in order to characterize the factors that influencethe location of the foreign bodies and the clinical signs.RESULTS: The orbital trauma occurred mostly in working accidents. Multiple intraorbital foreign bodies were found in 23.3% ofthe patients. Metallic foreign bodies were seen in 66.6%, and 30% had wooden foreign bodies. Nonmetallic foreign bodies weresignificantly associated with displacement of the eyeball, palpebral oedema and upper lid ptosis. Posterior orbit location wasassociated with displacement of the eyeball and conjunctival hemorrhage. Intraconal location was associated with mydriasis andconjunctival hemorrhage. The posterior orbit was occupied by foreign bodies in 63% of the patients. The foreign bodies were in theextraconal compartment in 55.55% of the cases. Small foreign bodies tend to be retained in the anterior orbit while large ones tendto be retained in the posterior orbit.CONCLUSION: The diagnosis and management of intraorbital foreign bodies must be tailored according to their type and locationand to the clinical aspect of the patient.