Penetrating Orbital/Ocular Injury 2, CT
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0285-Penetrating Orbital/Ocular Injury 2, CT
CA0285-Penetrating Orbital/Ocular Injury 2, CT
Case ReportHistory
Exam
Findings
Preseptal Soft tissues and Orbital Adnexa
The left preseptal soft tissues including the eyelid, conjunctival sac and lacrimal gland are swollen/edematous.
There two collections of air on the left which appear to be intraocular within the anterior chamber of the eye and not within the preseptal soft tissues and/or conjunctival sac. There is no slightly or obviously radiodense foreign body in areas of soft tissue swelling or elsewhere.
Eyes and Optic nerves
The left eye is not decompressed or enlarged.
The left anterior chamber is increased in size with swelling that suggests a hyphema might be present.
The left lens is displaced posteriorly and “canted” suggesting lateral suspensory ligament injury. The appearance of the anterior segment structures suggests possible injury of the ciliary body region with a possible very anteriorly placed subchoroidal hemorrhage or other fluid collection starting at the ciliary body.
The junctions of the optic sheath/nerve and eye are normal. There is no evidence of hemorrhage in or along the optic nerve and/or sheath.
Orbits
There is no abnormal air collection in the postseptal extraconal or intraconal orbital compartments likely due this penetrating injury. The extraconal and/or intraconal orbital fat is normal.
The bones of the orbit including the optic canal are normal.
Brain
There are no intra-axial or extra-axial abnormalities of the brain that might be related to the eye/orbital pathology.
Other findings
There are no other significant abnormalities present.