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Arquivos Brasileiros de Oftalmologia

Print version ISSN 0004-2749On-line version ISSN 1678-2925


CASANOVA, Fábio Henrique Cacho; MELLO FILHO, Paulo Augusto de Arruda; NAKANAMI, Deise Mitsuko  and  MANSO, Paulo Gois. Intraorbital organic foreign body: computed tomography and management. Arq. Bras. Oftalmol. [online]. 2001, vol.64, n.4, pp.297-301. ISSN 1678-2925.

Purpose: The clinical presentation of orbital foreign bodies is variable. The management and prognosis depends on the composition, location and if there is or not secondary infection. Metallic objects and glass are the most frequently encountered and well-tolerated, while organic foreign bodies can elicit an inflammatory reaction and leads to serious complications. It is frequently difficult to identify and localize organic intraorbital foreign bodies, despite modern imaging methods. Methods: Three patients with intraorbital organic foreign body after penetrating injury were evaluated. Results: All patients were submitted to removal of the foreign body presenting an improved clinical course. Computed Tomography (CT) was essential for evaluation, identification and localization of the foreign body. Conclusion: Preoperative identification of the foreign body in the orbit with the use of computed tomography was very helpful for patient management. The removal of the organic foreign body must be performed in order to avoid complications.

Keywords : Eye foreign bodies; Orbit [injuries]; X-ray computed tomography; Eye injuries [surgery]; Prognosis; Case report.

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