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Unusual orbital foreign bodies

P K Agarwal1, H Kumar, P K Srivastava

  • 1Department of Opthalmology, King George's Medical College, Lucknow.

Indian Journal of Ophthalmology
|October 1, 1993
PubMed
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Wooden foreign bodies in the eye require careful management. Prompt diagnosis and atraumatic surgical removal are crucial for successful outcomes in pediatric intraorbital foreign body injuries.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Ophthalmic Trauma

Background:

  • Organic foreign bodies, especially wood, are frequently found in the orbit.
  • Intraorbital foreign bodies can lead to persistent infections and complications.

Observation:

  • Two children presented with non-healing sinuses and purulent discharge after sustaining injuries while playing.
  • Diagnosis was aided by imaging (X-ray, CT scan) in one case and clinical correlation in the other.

Findings:

  • Surgical exploration successfully removed two 7 cm long wooden foreign bodies from the orbit.
  • Conservative management is advised, with surgical exploration reserved for complicated cases.

Implications:

  • Accurate localization, atraumatic surgical techniques, and meticulous surgical conditions are vital for managing intraorbital foreign bodies.

Related Experiment Videos

  • This case series highlights the importance of a cautious approach in pediatric ophthalmic trauma involving organic foreign bodies.