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


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
› Author Affiliations


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.

Publication History

Article published online:
22 April 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

  • References

  • 1 Khan M D, Kundi N, Zia Mohammed, Nazeer A F. A 61/2-years survey of intraocular and intraorbital foreign bodies in the North-west Frontier Province, Pakistan. British Journal of Ophthalmology, 1987:71:716-19.
  • 2 Bhaduri G, Chattopadhyay S,Ghosh R P , Saurabh K, Goyal M. An unusual case of penetrating ocular trauma with metallic spoon. Indian Journal of Ophthalmology, 2010:58: 330-31.
  • 3 Ho VT, McGuckin JF Jr, Smergel EM. Intraorbital wooden foreign body: CT and MR appearance. AJNR Am J Neuroradiol 1996:17:134-136.
  • 4 Al-Mujaini A, Al-Senawi R, Ganesh A, Al-Zuhaibi S, Al-Dhuhli H. Intraorbital foreign body: clinical presentation, radiological appearance and management. Sultan Qaboos Univ. Med J 2008:8:69- 74.
  • 5 Kim U R, Sivaraman K R. Penetrating orbital injuries from plant material during pond and river diving. Indian J Ophthalmol. 2013:61(2): 76–7.
  • 6 Krimmel M, Cornelius CP, Stojadinovic S, Hoffmann J, Reinert S. Wooden foreign bodies in facial injury: a radiological pitfall. Int. J Oral Maxillofac Surg. 2001: 30(5):445-7.
  • 7 Moretti A, Laus M, Crescenzi D, Croce A. Peri-orbital foreign body: a case report. Journal of Medical Case Reports 2012, 6:91. doi: 10.1186/1752-1947-6-91.
  • 8 John S S , Rehman T A, John D, Raju R S. Missed diagnosis of a wooden intra-orbital foreign body. Indian J Ophthalmol. 2008 Jul-Aug; 56(4): 322–4.
  • 9 Agarwal PK, Kumar H, Srivastava PK. Unusual orbital foreign bodies. Indian J Ophthalmol. 1993 Oct; 41 (3):125-7.