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Diagnostic uncertainty following orbital injury from a grease gun | JoVE Visualize

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Diagnostic uncertainty following orbital injury from a grease gun

Muhammed Jawad¹, Krishna Yamini², Ziyaad Sultan¹

¹Department of Ophthalmology, Aintree University Hospital NHS Foundation Trust, Aintree, UK.

Orbit (Amsterdam, Netherlands)|November 10, 2021

View abstract on PubMed

Summary

High-pressure grease gun injuries can leave grease inside the eye socket, mimicking air on scans. Prompt recognition and management are crucial to prevent complications from retained intraorbital grease.

Area of Science:

Ophthalmology
Trauma Surgery
Radiology

Background:

Orbital trauma from high-pressure grease guns is uncommon.
Retained intraorbital grease can lead to significant patient morbidity.
Radiological differentiation between grease and air can be challenging.

Purpose of the Study:

To present a case of retained intraorbital grease.
To highlight the clinical and radiological features of this injury.
To discuss the management strategies for intraorbital grease foreign bodies.

Main Methods:

Case report detailing a patient with orbital trauma.
Review of clinical presentation and symptoms.
Analysis of cross-sectional imaging findings.
Description of surgical and non-surgical management.

Main Results:

The case illustrates the diagnostic difficulty in distinguishing intraorbital grease from air on imaging.
Successful management of retained intraorbital grease was achieved.
The importance of clinical suspicion in diagnosis was confirmed.

Conclusions:

Clinicians must maintain a high index of suspicion for intraorbital grease in relevant trauma cases.
Familiarity with imaging characteristics is essential for accurate diagnosis.
Timely and appropriate management can mitigate morbidity associated with retained intraorbital grease.

Keywords:

Geoscience Data Visualisation

Diagnostic Uncertainty Following Orbital Injury From A Grease Gun