The Surgical Strategy for the Intraorbital Foreign Bodies

Abstract

Early removal of foreign bodies in orbital region is usually preferred due to the risk of neurologic damage and other complications. Surgical removal is quite challenging for foreign bodies like wood. Magnets can be used for metallic bodies.

Management of a penetrating orbital trauma from an unusual foreign body with associated eye injury

“…Systematic evaluation of the case is the most important principle. [1410] The incidence of associated eye injury may range from 0.7-10.8% if only severe injuries, such as vision loss, are included[61213] and up to 90.6% if the most minor injuries, such as subconjunctival hemorrhage, are included. [5]…”

“…Penetrating orbital injuries constitute between 30% and 50% of all orbital traumas;[1] within these cases, it has been found that one of every six patients presents with a foreign body. [23] These types of injuries deserve special consideration because they can cause eye damage, damage to the orbital structures, and even brain damage[34] and can lead to serious sequelae such as vision loss, which in turn can have medicolegal considerations.…”

“…[23] These types of injuries deserve special consideration because they can cause eye damage, damage to the orbital structures, and even brain damage[34] and can lead to serious sequelae such as vision loss, which in turn can have medicolegal considerations. [156] Most cases arise from unilateral injuries due to traffic accidents, assaults, accidental falls, or workplace accidents and are more frequent in men aged 20–40 years old. [127] Among the more common clinical manifestations are palpebral trauma, proptosis, limitation of mobility, and palpebral edema.…”

“…[156] Most cases arise from unilateral injuries due to traffic accidents, assaults, accidental falls, or workplace accidents and are more frequent in men aged 20–40 years old. [127] Among the more common clinical manifestations are palpebral trauma, proptosis, limitation of mobility, and palpebral edema. [57] On ocular examination, there may be subconjunctival hemorrhage, corneal abrasion, hyphema, retinal detachment, globe rupture, or optic nerve injury.…”

Unrecognized intraorbital wooden foreign body

“…The exact number and location of the wooden fragments should be approximated through imaging studies as best as possible before surgery. Utmost care must be taken to prevent fragmentation of wood pieces during extraction, which can result in fragment retention, migration or late infection [10].…”