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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2015; 05(02): 084-087
DOI: 10.1055/s-0040-1709823
Case Report

INTRAOCULAR FOREIGN BODY-A PECULIAR CHALLENGE

Keshav K Bhat
1   Consultant Maxillofacial Surgeon, The Face Clinic, Mangalore, Karnataka, India
,
Chinnappa A G.
2   Consultant Ophthalmologist, Prasad Nethralaya, Udupi, Mangalore, Karnataka, India
,
Muralee Mohan
3   Professor, Department of Oral & Maxillofacial Surgery, A.B. Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore, Karnataka, India
,
Harish Shetty
4   Professor, Department of Opthalmology, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
,
Suman Banerjee
5   Post Graduate, Department of Oral & Maxillofacial Surgery, A.B. Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore, Karnataka, India
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Abstract

Intraorbital foreign bodies often present a confusing clinical picture and managing them remains a challenging experience to the oral and maxillofacial surgeons. Wooden foreign bodies are notorious for remaining quiescent for a long time, before presenting with a variety of complications. The wound of entry may often be small and self-sealing. Wooden foreign bodies also show a propensity to break during attempted removal. Intraorbital wood is often not detected by standard diagnostic tests like the computed tomography scan, adding to the diagnostic dilemma. A retained foreign body can give rise to serious complications, the most devastating of which is loss of the eye. This interventional case report of an unusual case of a wooden intraorbital foreign body reviews the clinical features, radiological appearance and surgical management. Details of ocular history, preoperative ocular examination findings including visual acuity, computed tomography findings were noted. Early surgical exploration was carried out with blunt dissection and careful hemostasis. Thus the foreign body extraction greatly influenced the visual prognosis and final outcome of the patient.

Keywords

intraorbital - wooden foreign bodies - surgical removal


Publication History

Article published online:
22 April 2020

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