Blunt & Penetrating Orbital Injury, 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.
CA0282-Blunt & Penetrating Orbital Injury, CT
CA0282-Blunt & Penetrating Orbital Injury, CT
Case ReportHistory
Exam
Findings
Preseptal Soft tissues and Orbital Adnexa
The right preseptal soft tissues including the eyelid, conjunctival sac and lacrimal gland and sac are swollen/edematous. There no collections of air on the right within the preseptal soft tissues and/or conjunctival sac.
There is an obviously radiodense linear likely is a foreign body composed of organic material and/or coated with blood the area of preseptal soft tissue swelling, subjacent to the medial canthus, along the area of the lacrimal sac continuing to the post septal soft tissues along the mesial margin of the medial rectus muscle.
Eyes and Optic nerves
The right eye is not decompressed or enlarged. The right anterior segment is normal. There is no evidence of evidence of a subretinal, subchoroidal, subhyaloid or intravitreous hemorrhage or other fluid collection.
The junctions of the optic sheath/nerve and eye are normal.
Proptosis is present on the right. Signs of tension orbit are not present.
Orbits
There is no abnormal air collection in the postseptal extraconal or intraconal orbital compartments. The extraconal and intraconal orbital fat is edematous and possibly hypervascular.
The right medial rectus and superior oblique muscles are swollen but the orbital apex and superior orbital fissure appear 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. There is likely inconsequential chronic sinus disease.