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Published on: May 12, 2011
Intraorbital organic foreign body in a tree surgeon.
Bryan D Edgington1, Craig E Geist, Jana Kuo
1Department of Ophthalmology, The George Washington University, Medical Faculty Associates, Washington, D.C. 20037, U.S.A. bdedgington@hotmail.com
Ophthalmic Plastic and Reconstructive Surgery
|June 4, 2008
Summary
A tree surgeon experienced a traumatic orbital floor fracture with multiple wooden foreign bodies. Prompt surgical removal and radiologic consultation are crucial for managing these rare intraorbital injuries.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Radiology
Background:
- Orbital floor fractures can be complicated by intraorbital foreign bodies, posing diagnostic and management challenges.
- Organic foreign bodies in the orbit are uncommon but can lead to severe complications if not promptly identified and removed.
Observation:
- A tree surgeon sustained a traumatic left orbital floor fracture with associated medial wall involvement.
- Computed tomography (CT) revealed decreased attenuation in the inferior orbit and maxillary sinus, suggestive of foreign material.
Findings:
- Surgical exploration of the orbital floor successfully removed multiple wooden fragments, with the largest measuring 2.5 cm.
- Further surgical interventions were required to completely clear the remaining organic foreign bodies from the orbit.
Implications:
- The case highlights the importance of high clinical suspicion for organic intraorbital foreign bodies in trauma patients.
- Close collaboration between surgeons and radiologists is essential for accurate diagnosis and effective management of intraorbital foreign bodies.
