Vol. 18 No. 4 (2012) | Digital Journal of Ophthalmology

Computed tomography (CT) revealed an intraorbital foreign body. The hospital neurosurgeon was consulted and a magnetic resonance imaging (MRI) scan was requested. The MRI revealed a long, linear orbital foreign body extending from the left orbit through the medial part of the temporal lobe up to the brain stem (Figure 2). When confronted with the MRI report, the patientâ€™s mother continued to deny any injury with a sharp object. Based on the general condition of the patient, absence of neurological deficits and radiological findings, the neurosurgeon did not recommend an angiography.

Editorials
Diagnosis and treatment of penetrating orbital cranial foreign body injuries

Grand Rounds
A 44-year-old woman with a 3-month history of bilateral, painless visual loss in the absence of other symptoms
A 5-year-old girl with left upper eyelid swelling

Published: 2012-12-31

Lateral digital subtraction angiography image. A balloon-catheter has been temporarily inflated within the left cavernous ICA. Endovascular techniques are useful to control intra-operative hemorrhage in cases of vascular injury.

Diagnosis and treatment of penetrating orbital cranial foreign body injuries

Daniel R. Lefebvre, MD, Ronil V. Chandra, MBBS, FRANZCR

9-11

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On examination, visual acuity was hand movements in the right eye and no light perception (NLP) in the left eye. There was no relative afferent papillary defect. Pupils were round and reactive to light. The anterior segments were normal. On dilated fundus examination, she was found to have a grossly swollen right optic disc and a pale left optic disc.

A 44-year-old woman with a 3-month history of bilateral, painless visual loss in the absence of other symptoms

Emily H. Shao, MBBS, BSC, Kevin Gallagher, MBBS, Nabeel Malik, MBBS

12-14

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A 5-year-old girl with upper eyelid edema, at presentation.

A 5-year-old girl with left upper eyelid swelling

Syed Shoeb Ahmad, MBBS, MS, FAEH, FCLI, Shuaibah Abdul Ghani, MS, Khoo Say Peng, MS, Puliventhan Sellamuthu, MS

15-17

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