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. 2022 Mar 18;15(3):523-526.
doi: 10.18240/ijo.2022.03.25. eCollection 2022.

A case of unsuspected trans-orbital-cranial penetrating injury by a wooden chopstick in a one-year-old infant

Yeon Woong Chung  1 , Soon Young Lee  1 , Tae Yoon La  1
Affiliations

A case of unsuspected trans-orbital-cranial penetrating injury by a wooden chopstick in a one-year-old infant

Yeon Woong Chung et al. Int J Ophthalmol. .
No abstract available

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Figures

Figure 1
Figure 1. Changes of upper lid swelling and orbital CT findings after trauma
A: Mild erythematous upper lid swelling of the left eye on initial presentation; B: Orbit CT on initial visit shows intact eyeball contour and no intraorbital foreign body in the left eye; C: Aggravated lid swelling of the left eye on the second day after the trauma.
Figure 2
Figure 2. Orbital MRI on the 4th day after the trauma
A: Coronal view shows a small lesion with a peripheral high and a central low intensity in the left frontal lobe, suggesting brain abscess (red circle); B: Another coronal view shows high intensity of the left upper lid area suggesting pre-septal cellulitis, and a central low intensity lesion, suggesting orbital abscess (red circle); C, D: Axial and sagittal views show a hyperintense linear track-shaped orbital abscess (red circles) and a pocket-shaped brain abscess (red arrows) from the left upper eyelid to the left lower frontal lobe.
Figure 3
Figure 3. Recheck of orbital CT and operation
A, B: Recheck of orbital CT from the first visit reveals a focal bony defect (red circles) in the left orbital roof. No findings of intracranial damage above the penetration site are observed. C: Intraoperative photograph of abscess drainage through an upper lid incision.
Figure 4
Figure 4. Presumed route of injury
A: Orbital CT view; B: Schematic view. The red bar indicates the penetrating object, a chopstick. The chopstick is presumed to penetrate the orbital roof through the superior conjunctival fornix.
See this image and copyright information in PMC

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