case_images: PMC6167598_01
case_images: (a) Cranial X-ray showed a fragment of a dagger located intraorbitally in the superior and nasal quadrant and intracranially in the ethmoidal sinus in left site (including ruler for measurement). (b) The CT scans showed an intraorbital and intracranial foreign body of 4.6 cm x 2 cm in the left site.
case_images: CRIOPM2018-5093417.001.jpg
case_images: PMC6167598_01_CRIOPM2018-5093417.001.jpg
case_images: fig1
case_images: An intraorbital foreign body with triangular shape of 4.6 cm x 2 cm was seen in the left orbit, passing through the orbit and the ocular globe, fracturing the superomedial wall of the orbit, with a probable associated fracture of the ethmoidal cells, and reaching the anterior cranial fossa, causing pneumocephalus (Figures 1 and 2).
case_images: CT scans showing intraorbital foreign body with triangular shape of 4.6 cm x 2 cm in the left orbit, passing through the orbit and the ocular globe, fracturing the superomedial wall of the orbit, with a probable associated fracture of the ethmoidal cells, and reaching the anterior cranial fossa, causing pneumocephalus (marked by asterisks).
case_images: CRIOPM2018-5093417.002.jpg
case_images: PMC6167598_01_CRIOPM2018-5093417.002.jpg
case_images: fig2
case_images: An intraorbital foreign body with triangular shape of 4.6 cm x 2 cm was seen in the left orbit, passing through the orbit and the ocular globe, fracturing the superomedial wall of the orbit, with a probable associated fracture of the ethmoidal cells, and reaching the anterior cranial fossa, causing pneumocephalus (Figures 1 and 2).
case_images: Disinsertion of the lower eyelid. The foreign body turned out to be a fragment of a dagger.
case_images: CRIOPM2018-5093417.003.jpg
case_images: PMC6167598_01_CRIOPM2018-5093417.003.jpg
case_images: fig3
case_images: The entrance area in the orbit was revised, with special attention to the upper nasal quadrant, ruling out the need for repair by neurosurgery (Figure 3).
case_images: (a) and (b) Result in the immediate postoperative period is shown. The eyeball had a normal tone and the upper eyelid had a good aesthetic appearance.
case_images: CRIOPM2018-5093417.004.jpg
case_images: PMC6167598_01_CRIOPM2018-5093417.004.jpg
case_images: fig4
case_images: One week after the surgery, the cornea was transparent, but there were amaurosis, hemophthalmos, and hypotony (Figure 4).