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Retained orbital wooden foreign body: a surgical technique and rationale
1Oculoplastics/Orbit Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Objective:
To emphasize the potential complications of a retained orbital wooden foreign body (WFB) and the rationale of a surgical technique.
Design:
Two interventional case reports.
Participants:
Two patients sustained an orbital WFB injury. Both patients had ocular complications despite repeated attempts to remove the suspected residues.
Intervention:
Computed tomography and magnetic resonance imaging of both patients at different intervals revealed evidence of orbital foreign body migration toward the cranium. A surgical technique combing transcranial and orbital approaches was used to remove the residues.
Main Outcome Measures:
Preoperative and postoperative vision, proptosis, ocular motility, and various ocular symptoms and signs.
Results:
In both patients, no postoperative complications were seen, and all preoperative symptoms and signs were resolved at 9- and 19-month follow-ups, respectively.
Conclusions:
A retained orbital WFB can cause early or late complications and is known to have the potential to migrate intracranially. In selected patients, a team approach may be the best technique to ensure complete removal.
