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Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle

We present a rare case of a penetrating injury to the globe and orbit by a veterinary needle. The patient underwent globe exploration and retinal detachment repair under general anesthesia after receiving medical treatment for orbital cellulitis. The case was managed by a multidisciplinary team cons...

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Detalles Bibliográficos
Autores principales: Alawi, Abeer, AlHaimi, Fawzia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626050/
https://www.ncbi.nlm.nih.gov/pubmed/37937023
http://dx.doi.org/10.7759/cureus.48076
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author Alawi, Abeer
AlHaimi, Fawzia
author_facet Alawi, Abeer
AlHaimi, Fawzia
author_sort Alawi, Abeer
collection PubMed
description We present a rare case of a penetrating injury to the globe and orbit by a veterinary needle. The patient underwent globe exploration and retinal detachment repair under general anesthesia after receiving medical treatment for orbital cellulitis. The case was managed by a multidisciplinary team consisting of a pediatric ophthalmologist, an oculoplastic surgeon, and a retina surgeon. The orbital cellulitis resolved gradually, after which the site of globe penetration was found to be self-sealed, and the retinal detachment was repaired. B-scan ultrasonography and magnetic resonance imaging (MRI) were performed to assess the extent of the injury and evaluate the integrity of the globe. Exploration of presumed Self-sealing globe wounds by a needle should be deferred until the treatment of life-threatening complications like orbital cellulitis and optic nerve infiltration is complete. Prompt judicious care was necessary in this case. It is crucial to implement preventive measures to address the risks involved in children manipulating dangerous objects to avoid preventable accidents and mitigate the potential visual outcomes that may arise as a result.
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spelling pubmed-106260502023-11-07 Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle Alawi, Abeer AlHaimi, Fawzia Cureus Ophthalmology We present a rare case of a penetrating injury to the globe and orbit by a veterinary needle. The patient underwent globe exploration and retinal detachment repair under general anesthesia after receiving medical treatment for orbital cellulitis. The case was managed by a multidisciplinary team consisting of a pediatric ophthalmologist, an oculoplastic surgeon, and a retina surgeon. The orbital cellulitis resolved gradually, after which the site of globe penetration was found to be self-sealed, and the retinal detachment was repaired. B-scan ultrasonography and magnetic resonance imaging (MRI) were performed to assess the extent of the injury and evaluate the integrity of the globe. Exploration of presumed Self-sealing globe wounds by a needle should be deferred until the treatment of life-threatening complications like orbital cellulitis and optic nerve infiltration is complete. Prompt judicious care was necessary in this case. It is crucial to implement preventive measures to address the risks involved in children manipulating dangerous objects to avoid preventable accidents and mitigate the potential visual outcomes that may arise as a result. Cureus 2023-10-31 /pmc/articles/PMC10626050/ /pubmed/37937023 http://dx.doi.org/10.7759/cureus.48076 Text en Copyright © 2023, Alawi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Ophthalmology
Alawi, Abeer
AlHaimi, Fawzia
Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle
title Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle
title_full Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle
title_fullStr Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle
title_full_unstemmed Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle
title_short Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle
title_sort unusual penetrating orbital and globe injury with a veterinary needle
topic Ophthalmology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626050/
https://www.ncbi.nlm.nih.gov/pubmed/37937023
http://dx.doi.org/10.7759/cureus.48076
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