A Case of Retained Multiple Intraorbital Foreign Bodies.
- Author:
Suk Woo YANG
1
;
Yeon Deok KIM
;
Kyung Rak KIM
Author Information
1. Department of Ophthalmology College of Medicine, The Catholic University of Korea, Seoul, Korea. yswoph@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Diplopia;
Granuloma;
Intraorbital wooden foreign body
- MeSH:
Abscess;
Adult;
Cavernous Sinus;
Cellulitis;
Diagnosis;
Diplopia;
Exophthalmos;
Foreign Bodies*;
Granuloma;
Humans;
Magnetic Resonance Imaging;
Orbit;
Orbital Cellulitis;
Strabismus;
Wounds and Injuries
- From:Journal of the Korean Ophthalmological Society
2004;45(8):1380-1385
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: A diagnosis of wooden intraorbital foreign bodies is common and their removal is often necessitated after complications become manifested. In case of operation, it is difficult to find and remove wooden foreign bodies completely. We have experienced a case of retained multiple intraorbital foreign bodies removed by the secondary operation. We report this case with a literature review. METHODS: A 39-year-old man visited our clinic complaining of diplopia, exophthalmos, and limitation of eyeball movement. He had fallen down and had a lacerated wound. Right after primary closure, he experienced strabismus, orbital cellulitis, and abscess. Several months later, he had a soft mass in the operated lower lid, and two wooden intraorbital foreign bodies were found. MRI detected granuloma and cellulitis near the cavernous sinus. RESULTS: More than ten intraorbital wooden foreign bodies were surgically removed. After the surgery exophthalmos and diplopia were improved, and limitation of eyeball movement disappeared. The MRI findings were also improved. CONCLUSIONS: Intraorbital wooden foreign bodies should be diagnosed with a thorough history taking and radiologic exam, due to a number of potential complications, such as orbital cellulitis, abscess, and diplopia. Furthermore, they should be removed in consideration that they can move spontaneously into the deep interior of the orbit.
