Traumatic intraorbital wooden foreign body: Lessons learnt

Curragh, David; Selva, Dinesh

doi:10.1111/ceo.13428

Cited by 8 publications

(11 citation statements)

References 5 publications

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“…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%

“…More than 60% of infection rates have been reported with wooden IOrbFBs. 9,10,15 Hence, it is important to completely remove the wooden IOrbFBs due to its excessive reactive inflammation and infection. Wooden foreign bodies degrade easily, making its in-toto removal a surgical challenge.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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

Mehta

Singh

Yadav

et al. 2019

European Journal of Ophthalmology

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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.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Mehta

Singh

Yadav

et al. 2019

European Journal of Ophthalmology

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“…Organic FB degrades gradually and is difficult to be assessed with radiologic modalities [4] , [5] , [6] . Despite being highly sensitive and specific for detection of FB, CT scan may produce false-negative results, particularly in FB < 0.5 mm or wooden objects [2] .…”

Section: Discussionmentioning

confidence: 99%

Early versus delayed extraction of intraorbital wooden foreign body

Daniel

Irawati

Wibowo

et al. 2022

Trauma Case Reports

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“…Ptosis/no/nasal side of eyebrow No 2 CT a /identified Kim, 2018 [6] M/56 Fernández-Montalvo, 2019 [45] M/28 Car accident/2y Diplopia, EOM restriction/no/inferior bulbar conjunctiva Chehade, 2019 [46] F/25 NA/NA Abscess/NLP/lower lid Cavernous sinus 2 CT a , MRI a /identified Scofield-Kaplan, 2019 [47] M/3…”

Section: Stab/10dmentioning

confidence: 99%

Intraorbital wooden foreign bodies: case series and literature review

et al. 2021

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Intraorbital wooden foreign bodies (IOWFBs) constitute a relatively rare ocular trauma, which occupy a special type of intraorbital foreign bodies (IOFBs). Data regarding IOWFBs must be obtained from case reports or small case series due to their rarity. Here, we reported 5 cases of IOWFBs and reviewed the related literatures, which could provide comprehensive information regarding the clinical manifestations, diagnosis, and surgical treatment of IOWFBs. Combined with the published literature, a total of 51 independent cases were counted after we added 5 cases. Among them, the number of male and female patients was 35 and 16 respectively; the mean age was 27.3±18.2 (range 1-66)y. Obviously, the disorder seemed to occur mainly in young and middle-aged people. Because of the diversity in the clinical manifestations and imaging characteristics of IOWFBs, misdiagnosis and missed diagnosis often occur during the initial visit. Delayed diagnosis may lead to a high risk of orbital infection caused by IOWFBs. Surgery is the treatment of choice for most patients; however, the missed diagnosis and residue of foreign bodies after previous surgery cannot be ignored. Therefore, an accurate diagnosis is governed by the detailed trauma history, careful ocular examination, close observation of clinical manifestations, correct imaging diagnosis [e.g., magnetic resonance imaging (MRI) or computerized tomography (CT)], and timely and completely elimination of IOWFBs.

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Traumatic intraorbital wooden foreign body: Lessons learnt

Cited by 8 publications

References 5 publications

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

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

Early versus delayed extraction of intraorbital wooden foreign body

Intraorbital wooden foreign bodies: case series and literature review

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