Orbital Plates and Screws Causing Globe Fixation: A Rare and Delayed Complication of Craniomaxillofacial Surgery. Issue 3 (May 2018)

• Record Type: Journal Article
• Authors: Chandra, Varun; Buck, Danielle; Chakrabarti, Rahul; McNab, Alan
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 34:Issue 3(2018)
• Publication Date: 2018-05
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000001097
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : A 24-year-old woman presented with a 1-year history of gradually increasing pain on eye movements, worse on the right. She had a significant background of undergoing intracranial correction of orbital hypertelorism with internal fixation of the lateral orbital rims at the age of 6 years. Imaging was consistent with bilateral metallic foreign bodies from both lateral orbital rims protruding into the globes. The patient underwent removal of bilateral plates and screws, with a significant improvement of symptoms and ocular motility postoperatively. This case demonstrates the need to consider orbital screw/plate migration in the setting of reduced ocular motility and painful eye movements. Abstract : A case of orbital plates and screws resulted in a delayed complication of globe fixation.