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Unusual intraorbital foreign body.

Ramesh Srirangam¹, Suvarna K Gokhale, Adwait Uday Kulkarni

¹Department of Maxillofacial Surgery, Bharati Vidyapeeth Dental University, Pune, Maharashtra, India.

BMJ Case Reports

|August 15, 2012

Summary

A case report highlights a delayed presentation of orbital trauma with an unusual foreign body. Advanced imaging, including ultrasonography and MRI, is crucial for detecting all foreign bodies after penetrating orbital injuries.

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Area of Science:

Ophthalmology
Radiology
Trauma Surgery

Background:

Orbital trauma can present with subtle or absent symptoms, complicating diagnosis.
Foreign bodies in the orbit require thorough investigation due to potential complications.

Observation:

A 41-year-old patient presented late after trauma with minimal symptoms.
Radiological imaging revealed a foreign body in the orbital floor, disproportionate to the entry point and inconsistent with the clinical presentation.

Findings:

Preoperative imaging, including CT scans, did not identify all foreign bodies.
Surgical exploration under general anesthesia revealed a second, previously undetected foreign body.

Implications:

This case underscores the importance of comprehensive imaging modalities beyond radiographs and CT scans.
Ultrasonography and MRI should be considered in cases of penetrating orbital injury to ensure complete foreign body detection.
Thorough preoperative assessment is vital for managing complex orbital trauma cases.