Pediatric orbital lesions: bony and traumatic lesions

Samantha K Gerrie; Oscar M Navarro; Christopher J Lyons; Eman Marie; Heena Rajani; Cassidy S Frayn; Emily C M Hughes; Helen M Branson

doi:10.1007/s00247-024-05882-z

Pediatric orbital lesions: bony and traumatic lesions

Pediatr Radiol. 2024 Feb 27. doi: 10.1007/s00247-024-05882-z. Online ahead of print.

Authors

Samantha K Gerrie^{1

2}, Oscar M Navarro^{3

4}, Christopher J Lyons^{5

6}, Eman Marie⁷, Heena Rajani^{8

9}, Cassidy S Frayn^{8

9}, Emily C M Hughes^{8

9}, Helen M Branson^{3

4}

Affiliations

¹ Department of Radiology, BC Children's Hospital, 4500 Oak Street, Vancouver, BC, V6H 3N1, Canada. samgerrie76@gmail.com.
² Department of Radiology, University of British Columbia, Vancouver, Canada. samgerrie76@gmail.com.
³ Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, Canada.
⁴ Department of Medical Imaging, University of Toronto, Toronto, Canada.
⁵ Department of Ophthalmology, BC Children's Hospital, Vancouver, Canada.
⁶ Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, Canada.
⁷ Department of Diagnostic Imaging, McMaster Children's Hospital, McMaster University, Hamilton, Canada.
⁸ Department of Radiology, BC Children's Hospital, 4500 Oak Street, Vancouver, BC, V6H 3N1, Canada.
⁹ Department of Radiology, University of British Columbia, Vancouver, Canada.

PMID: 38411665
DOI: 10.1007/s00247-024-05882-z

Abstract

Orbital pathologies can be broadly classified as ocular lesions, extraocular soft-tissue pathologies (non-neoplastic and neoplastic), and bony and traumatic lesions. In this paper, we discuss the key imaging features and differential diagnoses of bony and traumatic lesions of the pediatric orbit and globe, emphasizing the role of CT and MRI as the primary imaging modalities. In addition, we highlight the adjunctive role of ocular sonography in the diagnosis of intraocular foreign bodies and discuss the primary role of sonography in the diagnosis of traumatic retinal detachment.

Keywords: Computed tomography; Magnetic resonance imaging; Ocular; Orbit; Osseous; Trauma.