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

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. Accepted for publication January 25, 2018. Written consent was gained from the patient for publication and use of photographs The authors have no financial or conflicts of interest to disclose. Address correspondence and reprint requests to: Varun Chandra, M.B.B.S., Royal Victorian Eye and Ear Hospital, 32 Gisborne Street, East Melbourne, VIC, Australia. E-mail: varun.chandra@hotmail.com © 2018 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.