Article Text

Unexpected outcome (positive or negative) including adverse drug reactions
Visual recovery after impalement injury of the orbit by reinforced steel bar
  1. Ahmad M Mansour1,
  2. Khalil Mahmoud Al-Salem2,
  3. Sandra Haddad2,
  4. Georges Mollayess2
  1. 1
    American University of Beirut, Ophthalmology, Ras Beirut, Beirut, 113-6044, Lebanon
  2. 2
    AUBMC, Ophthalmology, PO Box 11-0236, RIAD EL SOLH 110 72020, Beirut, 110 72020, Lebanon
  1. dr.ahmad{at}


Impalement injuries to the head and neck are quite rare, commonly lethal, and vision threatening when involving the orbit. Here, a case of impalement injury involving a steel bar to the neck and left orbit with full visual recovery is presented. The bar was removed, leaving non-displaced fractures of the floor of the left orbit and ethmoid bone. The disinserted left medial rectus was resutured. The perforated upper eyelid was sutured. The patient ended with mild ptosis.

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.