RT Journal Article
SR Electronic
T1 Penetrating orbital trauma by stiletto causing complex cranial neuropathies
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP e28
OP e28
DO 10.1136/emj.2005.029983
VO 23
IS 4
A1 Cleary, G
A1 Nischal, K K
A1 Jones, C A
YR 2006
UL http://emj.bmj.com/content/23/4/e28.abstract
AB Penetrating orbital injuries pose a serious threat to vision, ocular motility, and in some cases, life. Long, sharp stiletto objects may penetrate deeply, causing catastrophic damage to orbital structures, despite seemingly trivial entry wounds. The authors present two cases of penetrating orbital injuries by stiletto objects, both entering via small eyelid wounds. Traumatic optic neuropathy occurred in both cases, and was treated with corticosteroids, however the globes escaped direct injury. Injuries to the IIIrd and VIth cranial nerves were also observed. Deep orbital injuries must be excluded in patients presenting with small eyelid wounds caused by sharp penetrating objects.