Citation

Jáñez-García L, Mencía-Gutiérrez E, Gutiérrez-Díaz E, Moreno-García-Rubio LF, Zarratea-Herreros L, Bengoa-González Á, Pérez-Trigo S. Case Rep. Ophthalmol. Med. 2018; 2018: e5093417.

Affiliation

Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain.

Copyright

(Copyright © 2018, Hindawi Publishing)

DOI

10.1155/2018/5093417

PMID

30319827

PMCID

PMC6167598

Abstract

Penetrating injuries of the cranium are relatively uncommon, only 0.4% of all head injuries. In patients with disturbed conscious level, an extensive examination should be performed in the emergency unit to rule out transorbital penetrating brain injury. A 25-year-old male was attacked with a dagger. He presented with ethylic intoxication and the physical examination demonstrated a small skin injury on the lateral canthus of the left eye with a large periocular hematoma which prevented eyelid opening. Cranial CT scan showed a metallic intraorbital foreign body consisting of a fragment of a dagger which perforated the eyeball, and penetrated through the superomedial wall of the orbit into the anterior cranial fossa. Reconstruction of the eyeball was performed and the fragment was removed. Orbital injuries with a knife in situ are very unusual. Early identification and removal of retained foreign bodies are essential.

Language: en