Characteristics And Outcomes of Perforating Trauma With Intraorbital Foreign Body

Abstract Background: To evaluate the characteristics and outcomes of patients with perforating trauma with intraorbital foreign body (IOrbFb). Methods: Retrospective chart review of 31 consecutive patients with perforating trauma and IOrbFb treated in Eye and ENT Hospital of Fudan University from 2014 to 2018. Results: 30 (96.8%) patients were male and 1 (3.2%) was female. The ocular trauma score (OTS) was 1 in 18 (58.1%) patients, 2 in 8 (25.8%) patients and 3 in 5 (16.1%) patients. At the time of the last follow-up, the visual acuity was 20/40 or better in 3 (9.7%) patients, between 20/50-20/200 in 6 (19.4%) patients, between 20/200 or worse in 6 (19.4%) patients, no light perception 16 (51.6%) patients and 14 (45.2%) patients underwent evisceration/enucleation. Conclusions: The visual prognosis of perforating trauma with IOrbFb is closely related to OTS. Removal of IOrbFbs is safe with current orbital surgery techniques.