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Orbitocranial injury caused by wood
1Department of Ophthalmology, School of Medicine, Pusan National University, Korea.
Korean Journal of Ophthalmology : KJO
|April 13, 2000
Summary
A rare orbitocranial injury case involved a wooden stick penetrating the eye socket and temporal lobe. Successful surgical removal restored full ocular motility without complications.
Area of Science:
- Neurosurgery
- Ophthalmology
- Trauma Surgery
Background:
- Orbitocranial injuries are infrequent, particularly those involving wooden foreign bodies.
- Penetrating injuries pose significant risks to ocular and intracranial structures.
Observation:
- A patient presented with a penetrating periorbital wound from a wooden stick, entering through the right upper eyelid.
- The foreign body extended into the temporal lobe, causing marked mechanical restriction of right ocular motility.
- Ocular segments were intact, but forced duction tests indicated significant mechanical restriction.
Findings:
- Computed tomography revealed a well-delineated low-density area extending from the orbital wall into the temporal lobe.
- A neurosurgical frontotemporal approach successfully removed the wooden foreign body from the orbit and temporal lobe.
- Post-operative recovery showed complete restoration of ocular movement without intracranial or ocular complications.
Implications:
- This case highlights the importance of prompt surgical intervention for penetrating orbitocranial wooden foreign bodies.
- Successful management can lead to full functional recovery, even with extensive intracranial and orbital involvement.
- Emphasizes the need for a multidisciplinary approach involving ophthalmology and neurosurgery in managing complex orbital trauma.