Azouaghe Youssef, Belkacemi Abdelmonim, Bouchlarhem Saad, Sbai Achraf Amine, Benfadil Drissia, Lachkar Azeddine, El Idrissi Fahd El Ayoubi
Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Department of Otorhinolaryngology, Mohammed VI University Hospital Mohammed I University Oujda Oujda, Morocco.
Radiol Case Rep. 2025 Jun 16;20(9):4395-4399. doi: 10.1016/j.radcr.2025.05.056. eCollection 2025 Sep.
Intraorbital foreign bodies (IOFBs) are rare but potentially vision-threatening complications of orbital trauma, often presenting with subtle clinical signs despite significant underlying injury. We report the case of a 22-year-old male who sustained periorbital trauma after facial impact with a high-velocity plastic projectile. Clinical examination revealed a penetrating wound at the medial canthus of the left orbit, with preserved visual acuity and normal intraocular pressure. Computed tomography identified a radiopaque foreign body embedded in the inferomedial orbital floor. Surgical removal via a transconjunctival approach led to complete extraction of a spherical plastic object, with uneventful recovery and no postoperative complications. This case underscores the diagnostic challenges posed by nonmetallic IOFBs and the critical role of CT imaging in orbital trauma. Management strategies depend on the nature, size, and location of the foreign body, as well as associated complications such as globe perforation, infection, or oculomotor dysfunction. Prompt surgical intervention is essential to prevent long-term ocular and functional sequelae.
眶内异物（IOFBs）是眼眶外伤中罕见但可能威胁视力的并发症，尽管存在严重的潜在损伤，但往往表现出细微的临床体征。我们报告一例22岁男性病例，该患者面部被高速塑料射弹撞击后发生眶周外伤。临床检查发现左眼眶内眦有一处穿透伤，视力保留，眼压正常。计算机断层扫描发现一个不透射线的异物嵌入眶底内侧。经结膜入路手术取出导致一个球形塑料物体被完全取出，恢复顺利，无术后并发症。该病例强调了非金属眶内异物带来的诊断挑战以及CT成像在眼眶外伤中的关键作用。治疗策略取决于异物的性质、大小和位置，以及相关并发症，如眼球穿孔、感染或动眼功能障碍。及时的手术干预对于预防长期眼部和功能后遗症至关重要。
