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Intraorbital Graphite Foreign Body With a Delayed Presentation of Optic Neuropathy.

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Pencil graphite orbital injuries can cause delayed optic neuropathy, ptosis, and strabismus, even months after the initial trauma. Early diagnosis is crucial, especially in pediatric patients with limited history.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Penetrating orbital injuries from pencils are uncommon but present with diverse acute and delayed symptoms.
  • Pediatric patients often present diagnostic challenges due to difficulties in obtaining detailed medical histories.

Purpose of the Study:

  • To highlight the varied presentations of delayed orbital injuries caused by pencil graphite.
  • To emphasize the importance of thorough evaluation for diagnosing subtle, long-term sequelae of orbital trauma.

Main Methods:

  • Case report detailing a patient's presentation 10 months post-injury.
  • Clinical assessment focusing on visual acuity, ocular motility, and eyelid function.

Main Results:

  • The patient exhibited optic neuropathy, blepharoptosis, and strabismus.
  • Symptoms manifested significantly delayed, 10 months after the initial pencil graphite orbital injury.

Conclusions:

  • Delayed presentation of orbital injuries from pencil graphite is possible.
  • Optic neuropathy, blepharoptosis, and strabismus can be late sequelae, necessitating vigilant follow-up.