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

Pandit, Kamal; Sitaula, Sanjeeta; Shrestha, Gulshan Bahadur; Joshi, Sagun Narayan; Chaudhary, Meenu

doi:10.1016/j.amsu.2022.104017

Cited by 6 publications

(6 citation statements)

References 12 publications

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“…To supplement this information, we conducted a review of studies published between 2016 and 2022 using PubMed and analyzed the symptoms of 30 patients diagnosed with an IOWFB. Our findings demonstrated the prevalence of the following symptoms: decreased visual acuity (16/27 cases), limited ocular motility (11/23 cases), proptosis (9/18 cases), the elevation of intraocular pressure (11/19 cases), swelling of the eyelids (25/28 cases), conjunctival congestion (11/11), and diplopia (3/3) 1,7,8,11,[13][14][15][16][17][18][19][20][21] . Although some of these findings are non-specific, limited ocular motility, proptosis, and the elevation of intraocular pressure can be relatively specific findings of intra-orbital diseases.…”

Section: Discussionmentioning

confidence: 56%

Extracted Intra-Orbital Wooden Foreign Body Missed by the Primary Clinician

Oseki,

Shiroshita,

Sukegawa

et al. 2023

International Journal of Surgical Wound Care

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Intra-orbital wooden foreign bodies pose a significant challenge for clinicians as they are uncommon and difficult to diagnose due to their unique characteristics. Surgery is usually recommended as the presence of a foreign body can potentially induce severe complications, such as diplopia, proptosis, and loss of vision. However, the specific symptoms associated with these foreign bodies are not yet well understood and may, in some cases, take several years to manifest. Moreover, imaging studies have a high likelihood of failing to detect the presence of a foreign body. In this case, a 74-year-old man presented with worsening swelling and redness of the right lower eyelid. He had fell in his garden 6 months prior and underwent computed tomography, which did not reveal any evidence of foreign bodies in the orbit. Subsequently, he was treated for an optic canal fracture by an ophthalmologist. Based on the patient's symptoms and a secondary computed tomography scan, we performed surgery addressing the posttraumatic granuloma, abscess, and foreign body. During the procedure, a piece of wood was successfully extracted from his orbit. In conclusion, when patients experience orbital trauma and present with chronic symptoms, the possibility of a foreign body retained in the orbit should be considered.

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Section: Discussionmentioning

confidence: 56%

Extracted Intra-Orbital Wooden Foreign Body Missed by the Primary Clinician

Oseki,

Shiroshita,

Sukegawa

et al. 2023

International Journal of Surgical Wound Care

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“…[21][22][23] The available literature is restricted to a handful of retrospective studies involving a limited number of cases. [24][25][26][27] Consequently, thorough examinations of cases with nonmetallic intraocular foreign bodies (IOFBs) are crucial for advancing comprehension and advancing clinical approaches for diagnosis and treatment in the future. 20 To address these cases effectively, a thorough clinical assessment involving ultrasound and CT scans, along with examinations conducted under general anesthesia, is essential.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Ocular Trauma Management: A Case Study of Effective Intra-Orbital Foreign Body Iofb Extraction

Alexandria Stephanie,

Liesa Z Subuh,

Doni Setiawan

et al. 2024

JRE

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Highlights: The rare nature of Orbitocranial Injury with Intraorbital Foreign Body (IOFB). Utilizing a 3D Head CT Scan to ascertain the precise location of the IOFB and its impact on anatomical structures is pivotal in shaping immediate treatment strategies, thereby reducing the potential for complications. Abstract: Introduction: Penetrating intraorbital foreign body (IOFB) injuries are a rare form of traumatic injury. Recognized as a surgical emergency, meticulous history-taking and a thorough examination are essential for determining the trauma's mechanism and cause, facilitating accurate diagnosis and effective disease management. Case Illustration: In the emergency room, a 5-year-old female patient was presented with a craniofacial injury resulting from an IOFB. An evacuation procedure, conducted through a subsidiary incision, was performed to extract the foreign body. Interestingly, the object removed from the orbital cavity was a plastic foreign body, initially suspected to be a fractured orbital bone. Discussion: The clinical presentation, management, and outcomes of orbital foreign body injuries can differ based on the material composition of the foreign body. In cases of intraorbital foreign body trauma, the primary treatment goal is foreign body removal. Conclusion: Precise and accurate initial management in the emergency department is crucial. Early diagnosis, aided by a 3D head CT scan, is instrumental in locating the IOFB and identifying the involved anatomical structures. This, in turn, enables timely treatment decisions to minimize the risk of complications.

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“…The infection may manifest as orbital cellulitis, abscess formation, and even intracranial infection. Detection of wood in the eye is challenging because it is carbon-containing and not visible on conventional x-ray may not image well on CT or MRI [ 169 , 170 ]. If the chip is small and on the surface, it may be flushed with eyewash; however, deeper penetration shards may require surgical intervention and antibiotic treatment ( Figure 1 ) [ 171 ].…”

Section: Workplace Ocular Injuriesmentioning

confidence: 99%

Toxic External Exposure Leading to Ocular Surface Injury

Rauchman

Locke

Albert

et al. 2023

Vision

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The surface of the eye is directly exposed to the external environment, protected only by a thin tear film, and may therefore be damaged by contact with ambient particulate matter, liquids, aerosols, or vapors. In the workplace or home, the eye is subject to accidental or incidental exposure to cleaning products and pesticides. Organic matter may enter the eye and cause infection. Ocular surface damage can trigger a range of symptoms such as itch, discharge, hyperemia, photophobia, blurred vision, and foreign body sensation. Toxin exposure can be assessed clinically in multiple ways, including via measurement of tear production, slit-lamp examination, corneal staining, and conjunctival staining. At the cellular level, environmental toxins can cause oxidative damage, apoptosis of corneal and conjunctival cells, cell senescence, and impaired motility. Outcomes range from transient and reversible with complete healing to severe and sight-compromising structural changes. Classically, evaluation of tolerance and safety was carried out using live animal testing; however, new in vitro and computer-based, in silico modes are superseding the gold standard Draize test. This review examines how environmental features such as pollutants, temperature, and seasonality affect the ocular surface. Chemical burns to the eye are considered, and approaches to protect the ocular surface are detailed.

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

Cited by 6 publications

References 12 publications

Extracted Intra-Orbital Wooden Foreign Body Missed by the Primary Clinician

Extracted Intra-Orbital Wooden Foreign Body Missed by the Primary Clinician

Pediatric Ocular Trauma Management: A Case Study of Effective Intra-Orbital Foreign Body Iofb Extraction

Toxic External Exposure Leading to Ocular Surface Injury

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