Document Detail


Diesel fuel injury to the orbit.
MedLine Citation:
PMID:  23034684     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 48-year-old man was seen in the Wills Eye Institute emergency room for pain and decreased vision after having a diesel engine fuel cylinder explosion in his face. Clinical examination showed proptosis, decreased extraocular motility, and increased intraocular pressure; CT scan imaging revealed hypodense areas within the orbit. His orbital signs rapidly worsened despite aggressive antibiotics, steroids, and surgical intervention. Two orbitotomies revealed diesel fuel infiltration of the intraconal and extraconal spaces that proved impossible to evacuate completely. The patient ended up losing vision from an intense chemical cellulitis with subsequent orbital compartment syndrome and optic neuropathy. This case highlights the severity of orbital chemical injuries and their variable prognoses despite aggressive management.
Authors:
Michael P Rabinowitz; Scott M Goldstein
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  29     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2013 Jan-Feb
Date Detail:
Created Date:  2013-01-09     Completed Date:  2013-06-20     Revised Date:  2014-01-08    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e31-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Blast Injuries / etiology*,  radiography,  surgery
Blindness / etiology
Debridement
Emphysema / etiology
Eye Foreign Bodies / etiology*,  radiography,  surgery
Eye Injuries, Penetrating / etiology*,  radiography,  surgery
Eye Pain / etiology
Gasoline / adverse effects*
Humans
Male
Middle Aged
Orbit / injuries*
Orbital Cellulitis / chemically induced*,  radiography,  surgery
Therapeutic Irrigation
Tomography, X-Ray Computed
Visual Acuity
Chemical
Reg. No./Substance:
0/Gasoline

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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