case_images: PMC4927210_01
case_images: Patient on initial presentation showing significant right-sided peri-orbital oedema and sub-conjunctival haemorrhage with mild infra-orbital ecchymosis. Smaller laceration/abrasion injuries to forehead can also be seen.
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case_images: PMC4927210_01_10.1177_2050313X15622890-fig1.jpg
case_images: fig1-2050313X15622890
case_images: On presentation, the patient had significant peri-orbital oedema around the right eye and a sub-conjunctival haemorrhage was visible (Figures 1 and 2).
case_images: Patient on initial presentation showing significant right-sided peri-orbital oedema and sub-conjunctival haemorrhage with mild infra-orbital ecchymosis.
case_images: 10.1177_2050313X15622890-fig2.jpg
case_images: PMC4927210_01_10.1177_2050313X15622890-fig2.jpg
case_images: fig2-2050313X15622890
case_images: On presentation, the patient had significant peri-orbital oedema around the right eye and a sub-conjunctival haemorrhage was visible (Figures 1 and 2).
case_images: Occipitomental view plain film radiograph demonstrating a large radio-opaque mass over the right orbit.
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case_images: A standard occipitomental plain film view was taken (Figure 3).
case_images: (a-c) Head CT scan, selected axial plane slices demonstrating a right-sided retro-orbital area of hyperattenuation in direct contact with superior rectus, as well as smaller hyperattenuation areas in the pre-septal soft tissues.
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case_images: Upon reviewing the CT study, multiple radio-opaque areas of hyperattenuation were detected in and around the right orbit (Figure 4).
case_images: Intra-operative radiographs: (a) prior to removal of large glass fragment - instrument angulation and position seen in a superior pathway of approach to the foreign body; (b) following removal of glass fragment indicating complete removal.
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case_images: Complete removal was verified with another intra-operative radiograph (Figure 5).
case_images: Hess charts showing improvement in right eye restriction over a 5-month period. (a) Post-operatively indicating a remaining restriction in elevation. (b) Two months progress indicating improvement and a reduction in restriction observed. (c) Further 3 months progress indicating a return to a state of relative normality.
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case_images: PMC4927210_01_10.1177_2050313X15622890-fig6.jpg
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case_images: Over the following 5-month long-term follow-up, the patient had three Hess chart plottings undertaken that indicated a significant improvement over time, returning to a relative state of normality (Figure 6).