Turkish Neurosurgery 2019 , Vol 29 , Num 4
Intraorbital Penetrating and Retained Foreign Bodies – A Neurosurgical Case Series
Bianca SZABO1,Raluca PASCALAU3,Dana BARTOȘ2,Adrian BARTOȘ4,Ioan SZABO5
1Clinical Emergency County Hospital Cluj, Department of Ophthalmology, Cluj-Napoca, Romania
2“Iuliu Hațieganu” University of Medicine and Pharmacy, Department of Anatomy and Embriology, Cluj-Napoca, Romania
3“Iuliu Hațieganu” University of Medicine and Pharmacy Cluj-Napoca, Faculty of Medicine, Cluj-Napoca, Romania
4Regional Institute of Gastroenterology and Hepatology, Department of Surgery, Cluj-Napoca, Romania
5Cluj County Emergency Hospital, Department of Neurosurgery, Cluj-Napoca, Romania
DOI : 10.5137/1019-5149.JTN.24265-18.2 AIM: To present the particularities of the intraorbital foreign bodies from a neurosurgical perspective by summarizing the findings of a case series.

MATERIAL and METHODS: A retrospective study was conducted including a consecutive series of 30 patients with intraorbital foreign bodies treated between 1999 and 2017. Statistical analysis was performed in order to characterize the factors that influence the 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% of the patients. Metallic foreign bodies were seen in 66.6%, and 30% had wooden foreign bodies. Nonmetallic foreign bodies were significantly associated with displacement of the eyeball, palpebral oedema and upper lid ptosis. Posterior orbit location was associated with displacement of the eyeball and conjunctival hemorrhage. Intraconal location was associated with mydriasis and conjunctival hemorrhage. The posterior orbit was occupied by foreign bodies in 63% of the patients. The foreign bodies were in the extraconal compartment in 55.55% of the cases. Small foreign bodies tend to be retained in the anterior orbit while large ones tend to be retained in the posterior orbit.

CONCLUSION: The diagnosis and management of intraorbital foreign bodies must be tailored according to their type and location and to the clinical aspect of the patient. Keywords : Intraorbital foreign bodies, Orbital trauma, Neurosurgery

Corresponding author : Raluca PASCALAU, raluca.pascalau@yahoo.ro