A Non-missile Orbitocranial Wooden Trajectile Extracted by Trans-conjunctival Approach: Exploring an Unconventional...

A middle-aged female presented with drooping of the eyelid and loss of vision in her left eye (LE) following a fall at her residence 20 days back. On examination, in LE, vision was no light perception, with severe ptosis, ocular movements were restricted in all directions of gaze, and the fundus showed optic disc pallor. The right eye (RE) examination was normal. MRI of the brain and orbit showed a linear foreign body traversing between the medial and inferior recti, coursing through the superior orbital fissure close to the optic nerve. The posterior limit of the foreign body bordered on the left cavernous sinus. An urgent surgical extraction of the foreign body was done under general anaesthesia in conjunction with the neurosurgeon. A 7 cm long wooden twig was removed through a medial trans-conjunctival approach. This case report elaborates on the comprehensive management of an orbitocranial wooden foreign body in a middle-aged patient.