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[Orbital wooden foreign body].

F D'hermies1, M Halhal, X Morel

  • 1Service d'Ophtalmologie du Pr Renard, Hotel Dieu, 1, place du parvis Notre-Dame, F-75181 Paris Cedex 04.

Journal Francais D'Ophtalmologie
|June 9, 2001
PubMed
Summary
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A garden injury led to an orbital wooden foreign body, causing pain and double vision. Surgical removal resolved symptoms, highlighting the importance of thorough examination after orbital trauma.

Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Pathology

Background:

  • Orbital trauma can result from various incidents, including falls.
  • Foreign bodies in the orbit may not be immediately apparent.
  • Delayed symptoms like pain and diplopia warrant further investigation.

Observation:

  • A 76-year-old female sustained a right orbital wound after a fall.
  • Initial examination did not reveal any foreign body.
  • Subsequent CT scan identified a linear foreign body within the orbit.

Findings:

  • An 18-mm wooden foreign body was surgically removed via anterior orbitotomy.
  • Histopathology revealed inflammatory fibrous tissue with granulomas around telluric particles.
  • Complete resolution of diplopia occurred the day after surgery.

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Implications:

  • Prompt surgical intervention is crucial for managing intraorbital foreign bodies.
  • Early diagnosis and removal can prevent long-term visual complications.
  • This case underscores the need for advanced imaging in suspected orbital trauma with persistent symptoms.