Plank Out of the Eye
While jogging in the forest, a 45-year-old woman was hit by a tree branch, which penetrated her left eye. She presented to the emergency room with pain and ophthalmoplegia. CT and CT angiography were performed with multiplanar reconstruction and postprocessing for cinematic rendering. The CT images showed an intraocular, retrobulbar, hypoattenuating foreign body (1), which reached the orbital apex without rupturing the globe (Figs 1–3). Cinematic rendering is a modern technique for imaging postprocessing that produces photorealistic presentations that enable three-dimensional visualization of complex anatomic structures (2). In the presented case, the rendering vividly depicted the position of the foreign body in relation to osseous and vascular structures (Fig 3), which was beneficial for preoperative planning, as it indicated the precise entry location of the foreign body (Fig 1).
The wooden spur (Fig 4) was retrieved through an intraconal approach after partial clinoidectomy via pterional craniotomy. There was no injury to the carotid artery.Disclosures of conflicts of interest: A.H. No relevant relationships. K.S. No relevant relationships.
Article HistoryReceived: May 4 2023
Revision requested: June 6 2023
Revision received: June 7 2023
Accepted: June 22 2023
Published online: Oct 17 2023