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Foreign body orbital cyst.
Y Yazdanfard1, S Heegaard, H C Fledelius
1Eye Pathology Institute, University of Copenhagen, Denmark.
Acta Ophthalmologica Scandinavica
|February 13, 2001
Summary
A retained orbital foreign body, identified as a decidual leaf, caused delayed proptosis and diplopia. Its remarkable preservation, with surviving bacteria, highlights plant cell wall properties.
Area of Science:
- Ophthalmology
- Pathology
- Microbiology
Background:
- Orbital foreign bodies can lead to delayed complications.
- Accurate diagnosis requires advanced imaging and histopathology.
Observation:
- A 34-year-old male presented with delayed proptosis and diplopia after ocular trauma.
- Imaging revealed a cystic mass containing a foreign body.
- Histopathology identified a decidual leaf with gram-positive cocci.
Findings:
- The foreign body was a decidual leaf with intact plant cell walls.
- Gram-positive cocci were observed within the leaf structure.
- Immunoglobulin G traces were found in superficial cells.
Implications:
- Plant cell walls, rich in cellulose, may preserve foreign bodies and associated microorganisms.
- Understanding these mechanisms is crucial for managing retained orbital foreign bodies.
- This case underscores the importance of thorough investigation for persistent orbital symptoms.