Delayed diagnosis of an intraorbital wooden foreign body

Bayramoğlu, Sadık Etka; Sayın, Nihat; Erdogan, Mehmet; Ekinci, Dilbade Yıldız; Uzunlulu, Nail; Bayramoğlu, Zuhal

doi:10.1080/01676830.2018.1440606

Cited by 9 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The material, localization, and tissue response to IOrbFBs along with the integrity of eyeball determines the overall success. 1–12 In our study, the foreign body was suspected in all (100%) patients, and we requested an orbital CT scan in all patients before any surgical intervention.…”

Section: Discussionmentioning

confidence: 94%

“…On the contrary to the Western literature, the organic (wood, plants) type of IOrbFB is relatively common in our agriculture-based nation and in case of delayed removals, it may lead to an intense inflammation, tissue necrosis, and infection. 1,2,7–10 The metallic IOrbFB may provide some time for a better-planned approach for its removal. The surgical removal of IOrbFBs should be focused on the preservation of ocular functions of muscles, optic nerve, and blood vessels.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term ophthalmic anatomical and functional outcomes after surgical removal of intraorbital foreign bodies

Mehta

Singh

Yadav

et al. 2019

European Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: To analyze the anatomical and functional ophthalmic parameters after the surgical removal of various intraorbital foreign bodies. Methods: A retrospective analysis of medical records was performed featuring detailed history, ophthalmic examination, orbital computed tomographic scans, treatment details, and outcomes. The analyzed anatomical factors included extraocular movements, the position of the eyeball (proptosis, dystopia, and enophthalmos), and fullness of orbital sulci. The functional assessment was based on visual acuity, pupillary reactions, and diplopia. The outcomes were defined as complete, partial, and failure after a minimum follow-up of 1 year. Results: Of 32 patients, the organic and inorganic intraorbital foreign bodies were surgically removed from 18 (56.25%) and 14 (43.75%) orbits, respectively. At presentation, anatomically the extraocular movement restriction, proptosis/dystopia/enophthalmos, and orbital sulcus fullness were noted in 26 (81.25%), 24 (75%), and 15 (46.88%), respectively. Functionally, diminished visual acuity, diplopia, and pupil abnormalities were seen in 27 (84.38%), 14 (43.75%), and 8 (25%), respectively. After intraorbital foreign body removal at a mean follow-up of 14 months, the improvement of anatomical factors (same sequence) were observed in 8 (30.77%), 20 (83.33%), and 12 (80%), respectively. In functional factors (same sequence), the improvement was noted in none (0%), 13 (92.86%), and 5 (62.5%), respectively. Hence, the majority of patients (n = 20, 62.5%) achieved partial success, while 8 (25%) had complete success. Four (12.5%) had treatment failure despite similar management protocols. Conclusion: The anatomical outcomes are better than the functional outcomes after surgical removal of the intraorbital foreign bodies. The visual acuity does not improve considerably after the surgical removal of intraorbital foreign bodies. Overall, the wooden intraorbital foreign bodies have poorer anatomical and functional prognosis.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Long-term ophthalmic anatomical and functional outcomes after surgical removal of intraorbital foreign bodies

Mehta

Singh

Yadav

et al. 2019

European Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Although FBs like metal, plastic, and glass are easily detected with conventional radiographs like X-rays, organic FBs like wood is often missed. Therefore, with the feasibility to calculate Hounsfield Units (HU) to differentiated tissues and with the capacity of the higher geometrical resolution, CT is the gold standard method to detect wooden foreign bodies (WFB) [ 8 ] Meanwhile, performing magnetic resonance imaging (MRI) in orbital FBs is still controversial [ 9 ]. Penetrating organic FBs often leads to acute inflammatory reaction when left unremoved which can lead to an abscess, fistula, and granuloma formation [ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Management of unusual missed diagnosis of a Intra-orbital wooden foreign body: A case report and review of literature

Pandit

Sitaula

Shrestha

et al. 2022

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

“…There are many reported cases of occult penetrating orbital injuries, some with retained foreign bodies, and some with intracranial or vascular injuries that led to serious neurologic sequelae and even death. 2,7,9,25,28,54,59,60 Next, a complete and careful ophthalmic examination should be performed, and the tenants of ophthalmic emergencies should be followed. An examination should include visual acuity if able, intraocular pressures, pupillary examination with attention to the presence of a relative afferent pupillary defect, extraocular motility, globe position, and a complete anterior and posterior exam.…”

Section: History and Examinationmentioning

confidence: 99%