Intraorbital glass foreign body missed on CT imaging

Ophthalmic Plast Reconstr Surg. 2007 Jan-Feb;23(1):80-2. doi: 10.1097/IOP.0b013e31802c82a2.

Abstract

A 36-year-old woman presented with a 7-week history of foreign body sensation in the superior right orbit after orbital trauma sustained during an accidental face-down fall onto a broken drinking glass. CT identified a 10.35 x 3.91-mm radiopaque foreign body in the right orbit superolateral to the globe. Orbital exploration superficial to the levator palpebrae superioris aponeurosis in close proximity to the site occupied by the CT-identified foreign body revealed an additional glass intraorbital foreign body, 4.0 x 2.5 x 0.25 mm in dimension. The second glass foreign body was entirely missed on the preoperative, 1-mm axial scans combined with sagittal and coronal reconstructed images and plain radiography.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls*
  • Adult
  • Eye Foreign Bodies / diagnosis*
  • Eye Foreign Bodies / diagnostic imaging
  • Female
  • Glass*
  • Humans
  • Orbit / diagnostic imaging
  • Orbit / injuries*
  • Tomography, X-Ray Computed