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Year : 2015  |  Volume : 43  |  Issue : 2  |  Page : 60-65

The role of multidetector computed tomography in the diagnosis of traumatic orbital lesions in emergent settings

1 Department of Radiodiagnosis, Faculty of Medicine, Tanta University, Tanta, Egypt
2 Department of Ophthalmology, Faculty of Medicine, Tanta University, Tanta, Egypt

Correspondence Address:
Alsiagy A Salama
Department of Radiodiagnosis and Imaging, Faculty of Medicine, Tanta University, Tanta, Gharbiya
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DOI: 10.4103/1110-1415.158054

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Introduction The aim of this study was to evaluate the role of multiple detector computed tomography in the diagnosis of traumatic orbital lesions in emergent settings. Patients and methods Thirty patients (34 eyes) with eye injuries were included in this study. All patients were subjected to full history taking, clinical evaluation, and radiological assessment using multidetector computed tomography examination of the orbit. Both axial and coronal images were acquired with 3 mm sections. Cases were classified into four groups according to the anatomic site of lesions - orbital fractures, ocular lesions, adnexal lesions, and retrobulbar lesions. Results Diminution of vision was the most common presenting symptom (56.7%), and a compound orbital fracture was the most common eye injury following trauma (53.3%). Computed tomography (CT) showed positive findings including orbital fractures, ruptured globe, foreign bodies, and retrobulbar edema. Conclusion CT is the optimal imaging modality for revealing traumatic orbital injury. In an emergency setting, CT completes the clinical examination and allows appropriate care to be given for a wide range of traumatic lesions such as bony orbital fracture, lens traumatic complications, and posterior chamber sequels.

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