Journal List > J Korean Ophthalmol Soc > v.48(10) > 1007947

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Lee, Lee, and Yang: A Case of Intraorbital Foreign Body Removed Using A Magnet Under C-arm Fluoroscopy
Original Article

J Korean Ophthalmol Soc 2007;48(10):1410-1414.

Published online: 30 August 2007

DOI: https://doi.org/10.3341/jkos.2007.48.10.1410

A Case of Intraorbital Foreign Body Removed Using A Magnet Under C-arm Fluoroscopy

Han Kee Lee, M.D., Sul Gee Lee, M.D., Jae Wook Yang, M.D.

Department of Ophthalmology, College of Medicine Inje University, Pusan, Korea

Address reprint requests to Jae Wook Yang, M.D., Department of Ophthalmology, Pusan Beak Hospital, College of Medicine, Inje University, #633-165 Kekum-dong, Pusanjin-gu, Pusan 614-735, Korea, Tel: 82-51-890-6016, Fax: 82-51-890-6329, E-mail: eyeyang@inje.ac.kr

Received 8 December 2006       Accepted 13 June 2007

Copyright © 2007 Korean Ophthalmological Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We report a case of an intraorbital foreign body removed in a walk-in patient using a magnet under fluoroscopy.

Methods

A patient walked into the eye clinic complaining of ocular pain caused by foreign body that pernetrated into his right lower eyelid while mowing the lawn one day before he came to the hospital. Since an orbital foreign body was observed when the patient entered the hospital, and a high-density metallic response was diagnosed within the orbit from a computerized tomogram, we performed an emergency operation to take out the foreign body within the orbit.

Results

We removed the metallic foreign body, which was 5 mm in size and buried in the orbital fat, in an operation using a magnet under fluoroscopy.

Conclusions

This study shows that fluoroscopy and magnets are an efficient operative means of removing foreign bodies that are found within the orbital fat layer and are difficult to access.

Keywords: Intraorbital foreign body, Magnets, Fluoroscopy

References

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Figure 1.
Preoparative photograph of the patient. The inlet (arrow) is not seen due to a skin fold and lower lid swelling. There is also some periorbital ecchymosis and conjunctival hemorrhage.
jkos-48-1410f1.tif
Figure 2.
Preoperative (upper) and postoperative (lower) coronal and sagittal views of orbital CT scans. A foreign body with high density in the inferotemporal area of the orbit was removed by operation.
jkos-48-1410f2.tif
Figure 3.
Intraoperative fluoroscopy with a magnet and forceps. Foreign body is captured by a magnet with assistance of forceps.
jkos-48-1410f3.tif
Figure 4.
Removed foreign body on the tip of the magnet. The size of removed foreign body is about 5 mm in length and 2 mm in width.
jkos-48-1410f4.tif
Figure 5.
Digital Mobile Imaging System, OEC 9800 Plus, General Electric, USA.
jkos-48-1410f5.tif
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