Corpo estranho orgânico intra-orbitário: avaliação tomográfica e conduta

• Autor(a) principal: Casanova, Fábio Henrique Cacho [UNIFESP]
• Data de Publicação: 2001
• Outros Autores: Mello Filho, Paulo Augusto de Arruda [UNIFESP], Nakanami, Deise Mitsuko [UNIFESP], Manso, Paulo Gois [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000fd0n
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492001000400005; http://repositorio.unifesp.br/handle/11600/1209
• topic: Eye foreign bodies; Orbit; X-ray computed tomography; Eye injuries; Prognosis; Case report; Corpos estranhos no olho; Orbita; Tomografia computadorizada por raio-x; Traumatismos oculares; Prognóstico; Relato de caso

Purpose: The clinical presentation of orbital foreign bodies is variable. The management and prognosis depends on the composition, location and if there is or not secondary infection. Metallic objects and glass are the most frequently encountered and well-tolerated, while organic foreign bodies can elicit an inflammatory reaction and leads to serious complications. It is frequently difficult to identify and localize organic intraorbital foreign bodies, despite modern imaging methods. Methods: Three patients with intraorbital organic foreign body after penetrating injury were evaluated. Results: All patients were submitted to removal of the foreign body presenting an improved clinical course. Computed Tomography (CT) was essential for evaluation, identification and localization of the foreign body. Conclusion: Preoperative identification of the foreign body in the orbit with the use of computed tomography was very helpful for patient management. The removal of the organic foreign body must be performed in order to avoid complications.