Diplopia Revealing Unsuspected Orbital Foreign Bodies

Background

Binocular diplopia can result from either a neurological disorder (cranial nerve palsy, central lesion), decompensation of a pre-existing strabismus, extraocular muscle pathology, or an orbital lesion. In traumatic cases, diplopia can often result from an orbital fracture, more rarely from an orbital foreign body [1] [2] [3].

References

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• 2 Bleeker G M. Orbital diplopia.  Int Ophthalmol Clin. 1971;  11 187-201
• 3 Hold G R, Holt J E. Management of orbital trauma and foreign bodies.  Otolaryngologic Clin North Am. 1988;  21 35-52
• 4 Ho V H, Wilson M W, Fleming J C. et al . Retained intraorbital metallic foreign bodies.  Ophthal Plast Reconstr Surg. 2004;  20 232-236
• 5 Finkelstein M, Legmann A, Rubin P A. Projectile metallic foreign bodies in the orbit: a retrospective study of epidemiologic factors, management, and outcome.  Ophthalmology. 1997;  104 96-103