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Orbital trauma with a large plant foreign body: a case report
Xiaoqin Wang1, Qing Xie1, Xiaoqin Wang1
1Department of Ophthalmology, the Affiliated Haikou Hospital, Xiangya Medical School, Central South University/HaiKou Municipal Hospital, Haikou 570000, China.
Eye Science
|January 11, 2014
Summary
A large plant foreign body caused a severe orbital injury. Prompt surgical removal is crucial, but optic nerve damage can impair vision recovery, emphasizing careful treatment and infection prevention.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Penetrating orbital injuries require prompt medical attention.
- Plant foreign bodies pose unique challenges due to potential for infection and tissue damage.
Observation:
- A 30-year-old male sustained a left superior eyelid injury from a motorcycle accident.
- A large plant foreign body (3.6 x 0.5 cm) was identified in the left orbit via CT scan.
- The patient presented with inability to open his left eye and orbital pain.
Findings:
- Emergency surgical removal of the orbital foreign body was performed.
- Optic nerve injury resulted in unsatisfactory visual acuity recovery.
- The case underscores the importance of meticulous surgical technique and post-operative care.
Implications:
- Careful surgical removal is the primary treatment for large orbital foreign bodies.
- Prophylactic antibiotic therapy is essential to prevent secondary orbital infections.
- Patient outcomes are contingent on foreign body characteristics and associated complications.
