Aim: To evaluate the pattern of injuries caused by orbital foreign bodies, types of orbital foreign bodies and also describe the management outline, including clinical presentation, radiological appearance, and treatment protocol. Material and Method: This observational case series study had been conducted in a tertiary eye hospital in Bangladesh from January 2013 to December 2020. Variables included demographic profile, clinical profile, and pattern of injuries, types of foreign bodies, medical and surgical treatment, and treatment outcome. Results: A total of forty-four (44) patients had been analyzed including male patients (75%) and female patients (25%) of orbital foreign body. Most of the patients (82%) were below the 40 years of age and young male patients. The mean age was 28.26 years and median age was 24 years. The patterns of injuries were Accidental trauma( 47.7%), physical assault (38.6%), iatrogenic (13.6%). The kinds of OFBs included metallic (34%), vegetative/wooden (43.2%), non-organic nonmetallic (22.7%). Orbitotomy (84%) had found as the main approach of the surgery in this study. The improvement of visual acuity after 6 weeks of treatment was highly significant (p value <0.001). Conclusion: Accidental trauma is the leading cause of OFB. Metallic foreign has reported as higher than others OFBs. The young age is preponderance for the injury. Early diagnosis, surgical exploration and extraction, when indicated greatly influence visual prognosis and final outcome.

Purpose: To assess the outcomes of triangular tarsectomy and limited orbicularis myectomy with lower eyelid retractor plication versus an everting sutures technique for the correction of lower eyelid involutional entropion.Methods: A prospective quasi-study was conducted at two tertiary eye hospitals in Bangladesh between January 2016 and December 2019. Non-probability purposive sampling was used to select patients with lower eyelid involutional entropion. Patients in group A underwent triangular tarsectomy and limited orbicularis myectomy with lower eyelid retractor plication, whereas those in group B received everting sutures. All participants underwent regular follow-up and all surgeries were performed by a single surgeon. Results: A total of 58 patients in whom 60 eyelids were affected by lower eyelid involutional entropion were included in the study. The success rate was higher in group A compared to group B (100% versus 86.7%; p <0.50). Recurrence at a one-year follow-up was noted in only four (13.3%) cases, all of whom were in group B. However, patients in group A experienced a higher frequency of minimal postoperative complications, including short-term pain (83.3%) and ecchymosis (40%). Both approaches to entropion correction were successful in terms of cosmetic outcome. Conclusions: Triangular tarsectomy and limited orbicularis myectomy with eyelid retractor plication should be considered the definitive procedure for the correction of lower eyelid involutional entropion with minimal or no recurrence. However, everting sutures represent a minimally invasive and cost-effective alternative which can be considered for patients with comorbidities or contraindications, those afraid of surgery, and those of low socioeconomic means.