Unrecognized intraorbital wooden foreign body

Kim, Young Ho; Kim, Hyonsurk; Yoon, Eul Sik

doi:10.7181/acfs.2018.02047

Cited by 17 publications

(24 citation statements)

References 9 publications

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“…Despite repeated imaging studies during follow-up, no foreign body was detected until it was spontaneously discharged. Although the spontaneous excretion of organic foreign bodies retained in the orbit several months to several years after eyelid trauma has been reported [ 3 , 4 , 5 ], to the best of our knowledge, no case of spontaneous expulsion from the conjunctival sac has been reported. Since organic foreign bodies left in the orbital space can cause visual dysfunction and serious infections in patients, prompt surgical removal after detection is recommended [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Intraorbital foreign bodies are commonly encountered in clinical practice. However, their diagnosis is not easy [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. The diagnosis is made through a comprehensive assessment of the medical history, clinical findings (ocular motility disorder and suppurative inflammation), and diagnostic imaging techniques, such as computed tomography (CT), magnetic resonance imaging (MRI), and echo imaging [ 1 , 2 , 7 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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A Case of an Intraorbital Wooden Chip Foreign Body Diagnosed and Removed Several Months after Injury Despite Repeated Imaging Study

Tetsutaro

Shiotani

Horiguchi

et al. 2022

Case Rep Ophthalmol

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Intraorbital foreign bodies due to trauma are commonly encountered in clinical practice. However, organic foreign bodies, such as wood chips, can sometimes be difficult to diagnose. Here, we report the case of a patient with a wooden chip located intraorbitally that was not detected until spontaneous discharge, despite repeated diagnostic imaging. A 43-year-old intoxicated woman presented to our hospital with a bruised face and eyelid. The patient was diagnosed with conjunctivitis and iritis, but no foreign body was noted in repeated imaging studies since the first visit. Therefore, the patient was observed and managed conservatively. The patient returned to the hospital 114 days after the injury, with no improvement in her conjunctivitis. Examination revealed exposure of a foreign body in the lower eyelid conjunctiva, which was removed during emergency surgery. There are no clear criteria for imaging diagnosis of organic foreign bodies in the body. However, it may be possible to detect them by changing the imaging conditions and examining the computed tomography values in detail. In addition, in case of persistent clinical symptoms, such as inflammation, the image examination should be reviewed. In eyelid trauma, the medical history is sometimes unknown, so it must be remembered that a detailed examination and, in some cases, clinical symptoms are important in making a diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Case of an Intraorbital Wooden Chip Foreign Body Diagnosed and Removed Several Months after Injury Despite Repeated Imaging Study

Tetsutaro

Shiotani

Horiguchi

et al. 2022

Case Rep Ophthalmol

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“…In T1-weighted images (T1-WI), a wooden FB gives a more uniform signal and is more discernible as compared to T2-weighted imaging (T2-WI). The possibility of getting motion artefacts is also higher in T2-WI [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical Presentation and Management Strategies in Intraorbital Foreign Bodies

Khanam

Agarwal

Goel

et al. 2021

Case Reports in Ophthalmological Medicine

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The authors present a retrospective, observational case study of seven patients, who presented with retained Intra-Orbital Foreign Bodies (IOrbFBs) following penetrating orbital injury at a tertiary eye hospital over a period of one year. Cases were reviewed for epidemiological features, mechanism of injury, nature of foreign body, clinical features, imaging modality, associated complications, management outcomes, and the final prognosis. The mean age of presentation was 27.43 years. Amongst the seven patients, two were children (aged <10 years). The male : female ratio was 4 : 3. Of the seven retained IOrbFBs, two were plastic, two wooden, and three metallic in nature (one gunshot injury, one ball projectile (commonly referred to as BB) injury, and one with knife). Two out of seven had no light perception at presentation. The periocular location of the foreign bodies was inferior in 4 cases and medial in 3 cases. Computed Tomography scan confirmed the diagnosis in five cases and Magnetic Resonance Imaging (MRI) was diagnostic in one. Surgical intervention was done in five cases, and two cases were managed conservatively. The authors conclude that favourable outcome can be achieved even without surgical removal in cases of inert metallic/inorganic IOrbFBs. The properties of plastic FBs can frequently render them invisible on imaging, or they may mimic chronic inflammatory conditions like tuberculosis. Long-standing wooden IOrbFBs evade identification radiologically due to prolonged hydration. The ultimate choice of intervention must be individualised, weighing the risks of retention against the risk of iatrogenic damage.

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“…In previously reported cases of wooden intraorbital foreign bodies, good outcomes were obtained through a surgical approach with the knowledge of the exact number and location of intraorbital foreign bodies [7,10]. However, surgical approaches may not be favorable if postoperative complications, such as optic nerve injury, are anticipated due to the location of the foreign body in the intraconal space being very close to the optic nerve.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Wooden Foreign Bodies in the Orbit: A Case Report

Kim

Lim

et al. 2021

J Wound Manag Res

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The diagnosis and management of intraorbital foreign bodies are challenging for surgeons. Foreign bodies made of wood and those located close to the optic nerve are especially difficult to manage. Herein, we report our experience with the diagnosis and management of intraorbital wooden foreign bodies utilizing magnetic resonance imaging (MRI). A 50-year-old man presented to the emergency room with a laceration on his left upper eyelid. No foreign bodies were visible through the laceration, and computed tomography findings showed only evidence of cellulitis with abscess formation. Despite drainage and antibiotics, the cellulitis worsened; subsequently, we found multiple wooden foreign bodies on MRI. Surgical removal was performed, excluding those in the intraconal space to avoid optic nerve damage. The patient recovered well and has not experienced any ophthalmic complications at 1 year of follow-up.

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Unrecognized intraorbital wooden foreign body

Cited by 17 publications

References 9 publications

A Case of an Intraorbital Wooden Chip Foreign Body Diagnosed and Removed Several Months after Injury Despite Repeated Imaging Study

A Case of an Intraorbital Wooden Chip Foreign Body Diagnosed and Removed Several Months after Injury Despite Repeated Imaging Study

Clinical Presentation and Management Strategies in Intraorbital Foreign Bodies

Diagnosis and Management of Wooden Foreign Bodies in the Orbit: A Case Report

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