Management Of Orbital Foreign Bodies

Hendrian Dwikoloso Soebagjo, NIDN. 8860900016 (2017) Management Of Orbital Foreign Bodies. In: A-Z Eyelid and Orbital Disorder Proceeding Book : 3rd INASOPRS Meeting. Persatuan Dokter Ahli Mata Indonesia, Yogyakarta, pp. 18-30.

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Orbital Foreign Body (OFB) is foreign body that have penetrated the orbital cavity and lodged within it. OFB caused damage to surrounding structures, such as the optic nerve and extraocular muscles. OFB could be difficult to be detected and missed detection may lead to devastating clinical consequences. ln ocular trauma cases, it is important to conduct a thorough investigation including a complete history and physical examination, accompanied by diagnostic imaging to rule out globe ruptured, optic damage and possibility of OFB. Diagnostic imaging plays important role to determine the presence, location, material, size, and number of OFB. lmaging options include CT scan, MRl, and X-ray, each of which has particular advantages and limitations. All patients with OFB should be treated with antitetanus prophylaxis. lf there is a history of recent injury or presence of orbital infection, it is reasonable to give antibiotics. Before deciding to extract OFB, ophthalmic surgeon must consider the risk of surgery against the risks of retention. Surgical removal usually attempted for all organic and inorganic matters that toxic to orbitaltissue because of higher risk of inflammation and infection. C-arm fluoroscopy is a high resolution-imaging machine that can provide real time image of surgical site and surrounding tissue during surgery. This machine helps the surgeon to determine the exact location and number of OFB, and also provide surgical approach guiding in OFB extraction. The clinical outcome of OFB depends on the severity of the inciting trauma, location and material of OFB.

Item Type: Book Section
Uncontrolled Keywords: Orbital Foreign Bodies, CT scan, MRI, C-arm Fluoroscopy
Subjects: R Medicine > R Medicine (General)
R Medicine > RE Ophthalmology
Divisions: 01. Fakultas Kedokteran > Ilmu Penyakit Mata
Hendrian Dwikoloso Soebagjo, NIDN.
Depositing User: hanif kurniawan
Date Deposited: 18 Nov 2019 01:19
Last Modified: 18 Nov 2019 01:19
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