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Orbital Foreign Body
H. Christian Davidson, MDJoshua E. Lantos, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Foreign body (FB)
              • Definitions

                • Foreign material introduced into orbit via trauma

              IMAGING

              • General Features

                • Imaging Recommendations

                  • Radiographic Findings

                    • CT Findings

                      • MR Findings

                        • Ultrasonographic Findings

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            • Reporting Tips

                                              Selected References

                                              1. Hötte GJ et al: Ocular injury and emergencies around the globe. Atlas Oral Maxillofac Surg Clin North Am. 29(1):19-28, 2021
                                              2. Balakrishnan S et al: Imaging review of ocular and optic nerve trauma. Emerg Radiol. 27(1):75-85, 2020
                                              3. Erickson BP et al: Gun-related eye injuries: a primer. Surv Ophthalmol. 65(1):67-78, 2020
                                              4. Singh P et al: Large wooden orbital foreign body: case report and literature review. Trop Doct. 49475520946167, 2020
                                              5. Mirzaei F et al: An unusual case of intra orbital foreign body; diagnosis, management, and outcome: a case report. BMC Surg. 19(1):76, 2019
                                              6. Bodanapally UK et al: Prognostic predictors of visual outcome in open globe injury: emphasis on facial CT findings. AJNR Am J Neuroradiol. 38(5):1013-8, 2017
                                              7. Joos ZP et al: Orbital foreign body masquerading as orbital air. Clin Experiment Ophthalmol.44(7):637-9, 2016
                                              8. Winegar BA et al: Imaging of orbital trauma and emergent non-traumatic conditions. Neuroimaging Clin N Am. 25(3):439-56, 2015
                                              9. Chazen JL et al: Orbital soft-tissue trauma. Neuroimaging Clin N Am. 24(3):425-37, vii, 2014
                                              10. Lin TC et al: Management and clinical outcomes of intraocular foreign bodies with the aid of orbital computed tomography. J Chin Med Assoc. 77(8):433-6, 2014
                                              11. Sung EK et al: Injuries of the globe: what can the radiologist offer? Radiographics. 34(3):764-76, 2014
                                              12. Lefebvre DR et al: Diagnosis and treatment of penetrating orbital cranial foreign body injuries. Digit J Ophthalmol. 18(4):9-11, 2012
                                              13. Bord SP et al: Trauma to the globe and orbit. Emerg Med Clin North Am. 26(1):97-123, vi-vii, 2008
                                              14. Kubal WS: Imaging of orbital trauma. Radiographics. 28(6):1729-39, 2008
                                              15. Saeed A et al: Plain X-ray and computed tomography of the orbit in cases and suspected cases of intraocular foreign body. Eye (Lond). 22(11):1373-7, 2008
                                              16. Adesanya OO et al: Intraorbital wooden foreign body (IOFB): mimicking air on CT. Emerg Radiol. 14(1):45-9, 2007
                                              17. Fulcher TP et al: Clinical features and management of intraorbital foreign bodies. Ophthalmology. 109(3):494-500, 2002
                                              18. Go JL et al: Orbital trauma. Neuroimaging Clin N Am. 12(2):311-24, 2002
                                              19. Boncoeur-Martel MP et al: CT appearances of chronically retained wooden intraorbital foreign bodies. Neuroradiology. 43(2):165-8, 2001
                                              20. Joseph DP et al: Computed tomography in the diagnosis and prognosis of open-globe injuries. Ophthalmology. 107(10):1899-906, 2000
                                              21. Fezza J et al: The importance of CT scans in planning the removal of orbital-frontal lobe foreign bodies. Ophthal Plast Reconstr Surg. 15(5):366-8, 1999
                                              22. Pyhtinen J et al: Wooden foreign bodies in CT. Case reports and experimental studies. Acta Radiol. 36(2):148-51, 1995
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Foreign body (FB)
                                                          • Definitions

                                                            • Foreign material introduced into orbit via trauma

                                                          IMAGING

                                                          • General Features

                                                            • Imaging Recommendations

                                                              • Radiographic Findings

                                                                • CT Findings

                                                                  • MR Findings

                                                                    • Ultrasonographic Findings

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Staging, Grading, & Classification

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Consider

                                                                                      • Image Interpretation Pearls

                                                                                        • Reporting Tips

                                                                                          Selected References

                                                                                          1. Hötte GJ et al: Ocular injury and emergencies around the globe. Atlas Oral Maxillofac Surg Clin North Am. 29(1):19-28, 2021
                                                                                          2. Balakrishnan S et al: Imaging review of ocular and optic nerve trauma. Emerg Radiol. 27(1):75-85, 2020
                                                                                          3. Erickson BP et al: Gun-related eye injuries: a primer. Surv Ophthalmol. 65(1):67-78, 2020
                                                                                          4. Singh P et al: Large wooden orbital foreign body: case report and literature review. Trop Doct. 49475520946167, 2020
                                                                                          5. Mirzaei F et al: An unusual case of intra orbital foreign body; diagnosis, management, and outcome: a case report. BMC Surg. 19(1):76, 2019
                                                                                          6. Bodanapally UK et al: Prognostic predictors of visual outcome in open globe injury: emphasis on facial CT findings. AJNR Am J Neuroradiol. 38(5):1013-8, 2017
                                                                                          7. Joos ZP et al: Orbital foreign body masquerading as orbital air. Clin Experiment Ophthalmol.44(7):637-9, 2016
                                                                                          8. Winegar BA et al: Imaging of orbital trauma and emergent non-traumatic conditions. Neuroimaging Clin N Am. 25(3):439-56, 2015
                                                                                          9. Chazen JL et al: Orbital soft-tissue trauma. Neuroimaging Clin N Am. 24(3):425-37, vii, 2014
                                                                                          10. Lin TC et al: Management and clinical outcomes of intraocular foreign bodies with the aid of orbital computed tomography. J Chin Med Assoc. 77(8):433-6, 2014
                                                                                          11. Sung EK et al: Injuries of the globe: what can the radiologist offer? Radiographics. 34(3):764-76, 2014
                                                                                          12. Lefebvre DR et al: Diagnosis and treatment of penetrating orbital cranial foreign body injuries. Digit J Ophthalmol. 18(4):9-11, 2012
                                                                                          13. Bord SP et al: Trauma to the globe and orbit. Emerg Med Clin North Am. 26(1):97-123, vi-vii, 2008
                                                                                          14. Kubal WS: Imaging of orbital trauma. Radiographics. 28(6):1729-39, 2008
                                                                                          15. Saeed A et al: Plain X-ray and computed tomography of the orbit in cases and suspected cases of intraocular foreign body. Eye (Lond). 22(11):1373-7, 2008
                                                                                          16. Adesanya OO et al: Intraorbital wooden foreign body (IOFB): mimicking air on CT. Emerg Radiol. 14(1):45-9, 2007
                                                                                          17. Fulcher TP et al: Clinical features and management of intraorbital foreign bodies. Ophthalmology. 109(3):494-500, 2002
                                                                                          18. Go JL et al: Orbital trauma. Neuroimaging Clin N Am. 12(2):311-24, 2002
                                                                                          19. Boncoeur-Martel MP et al: CT appearances of chronically retained wooden intraorbital foreign bodies. Neuroradiology. 43(2):165-8, 2001
                                                                                          20. Joseph DP et al: Computed tomography in the diagnosis and prognosis of open-globe injuries. Ophthalmology. 107(10):1899-906, 2000
                                                                                          21. Fezza J et al: The importance of CT scans in planning the removal of orbital-frontal lobe foreign bodies. Ophthal Plast Reconstr Surg. 15(5):366-8, 1999
                                                                                          22. Pyhtinen J et al: Wooden foreign bodies in CT. Case reports and experimental studies. Acta Radiol. 36(2):148-51, 1995