Artikel
Orbital cellulitis and amaurosis after infraorbital wooden foreign body
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Veröffentlicht: | 22. September 2005 |
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Gliederung
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This case involves a 68-year-old man who sustained orbital trauma by an bicycle accident. Initially his vision was normal. Clinical investigation on day 13 shows a total ophthalmoplegia, ptosis, chemosis and impaired visual acuitiy since 8 days until complete blindness. With the radiological diagnosis of a medial orbital wall and orbital floor fracture and fracture of the sinus sphenoidalis with fragment dislocation in direction of the optic nerve canal he was refered to our unit for optic nerve decompression.
An infraorbital already healed entry wound and the palpation of an induration made the suggestion of the precence of an foreign body, which was proved by ultrasound. Secondary CT-scan reconstruction with window width and level variation detect the missed infraorbital wooden foreign body. An orbital cellulitis with apex orbitae-syndrom was diagnosed. The foreign body was removed and and a decompression of the orbit and optic nerve was performed. Additionally i.v. antibiotics and corticosteroids were administered. Unfortunatly no visual improvement could be achieved.