PMC6167598_01
(a) Cranial X-ray showed a fragment of a dagger located intraorbitally in the superior and nasal quadrant and intracranially in the ethmoidal sinus in left site (including ruler for measurement). (b) The CT scans showed an intraorbital and intracranial foreign body of 4.6 cm x 2 cm in the left site.
CRIOPM2018-5093417.001.jpg
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fig1
An intraorbital foreign body with triangular shape of 4.6 cm x 2 cm was seen in the left orbit, passing through the orbit and the ocular globe, fracturing the superomedial wall of the orbit, with a probable associated fracture of the ethmoidal cells, and reaching the anterior cranial fossa, causing pneumocephalus (Figures 1 and 2).
CT scans showing intraorbital foreign body with triangular shape of 4.6 cm x 2 cm in the left orbit, passing through the orbit and the ocular globe, fracturing the superomedial wall of the orbit, with a probable associated fracture of the ethmoidal cells, and reaching the anterior cranial fossa, causing pneumocephalus (marked by asterisks).
CRIOPM2018-5093417.002.jpg
PMC6167598_01_CRIOPM2018-5093417.002.jpg
fig2
An intraorbital foreign body with triangular shape of 4.6 cm x 2 cm was seen in the left orbit, passing through the orbit and the ocular globe, fracturing the superomedial wall of the orbit, with a probable associated fracture of the ethmoidal cells, and reaching the anterior cranial fossa, causing pneumocephalus (Figures 1 and 2).
Disinsertion of the lower eyelid. The foreign body turned out to be a fragment of a dagger.
CRIOPM2018-5093417.003.jpg
PMC6167598_01_CRIOPM2018-5093417.003.jpg
fig3
The entrance area in the orbit was revised, with special attention to the upper nasal quadrant, ruling out the need for repair by neurosurgery (Figure 3).
(a) and (b) Result in the immediate postoperative period is shown. The eyeball had a normal tone and the upper eyelid had a good aesthetic appearance.
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fig4
One week after the surgery, the cornea was transparent, but there were amaurosis, hemophthalmos, and hypotony (Figure 4).