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Diagnostic Imaging Pathways - Suspected Orbital Pathology

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Teaching Points

  • Plain films have a limited role in the assessment of orbital trauma.
  • If an orbital pathology is suspected clinically, CT is the imaging modality of choice. It enables superior visualisation of the bone structures of the midface and orbits.
  • MRI is a useful adjunt to CT, particularly in identifying soft tissue injury. Before a patient undergoes MRI, foreign metal in the orbit should first be excluded (on plain films or CT).

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