Clinicoradiological evaluation of rare orbital injuries

ABSTRACT

AIM OF THE WORK We aimed at recording rare cases with different orbital injuries and studying the difficulties in their diagnosis and management. PATIENT AND METHODS: A retrospective review of six cases of rare orbital injuries. All cases shared in visual impairment and some cases had either proptosis or enophthalmos. All cases underwent full history taking including type and mechanism of trauma, complete ophthalmic examination and computerized tomography [CT] examination. Clinical diagnosis was not conclusive. Accurate diagnosis was only achieved by CT. Management was different depending on each condition. One case had pure medial wall blow out fracture with the displaced globe traversing ethmoidal cells into nasal cavity, another one had bilateral medial wall blow in fracture with nasal fracture, two cases had intra orbital FBs; one of them had very large neglected woody FB and the other had gun shot passed through optic canal into middle cranial fossa, one had neglected orbital hematoma which changed into hematic cyst, and the last case had iatrogenic medial wall injury. CONCLUSION We concluded that in rare orbital injuries, we should not rely on clinical assessment only and CT is very essential diagnostic tool for such cases also there is no fixed role for surgery but it moulds itself according to each condition