Section 66
Chapter 65,378

Orbital Plates and Screws Causing Globe Fixation: a Rare and Delayed Complication of Craniomaxillofacial Surgery

Chandra, V.; Buck, D.; Chakrabarti, R.; McNab, A.

Ophthalmic Plastic and Reconstructive Surgery 34(3): E95-E96


ISSN/ISBN: 1537-2677
PMID: 29547465
DOI: 10.1097/iop.0000000000001097
Accession: 065377702

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.

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