International Medical Case Reports Journal (May 2020)
Unusual Missed Diagnosis of Foreign Body: A Case Report
Abstract
Somya Chowdhary,1 Pooja Garg,2 Vivek Sawhney,2 Abhijit Pandya,2 Kumar Sambhav,3 Shailesh Gupta2 1Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA; 2Specialty Retina Centre, Coral Springs, FL, USA; 3Department of Ophthalmology, University of Florida, Jacksonville, FL, USACorrespondence: Shailesh GuptaSpecialty Retina Centre, Coral Springs, FL 33067, USATel +1561 322-3588Email [email protected]: Penetrating intraorbital foreign body (IOFB) is usually associated with high-velocity trauma forces around the eye. IOFB injury to globe or optic nerve is considered a surgical emergency; an immediate diagnosis and management plan is generally indicated.Methods: A case report (design). The patient was a 78-year-old male presented with diminution of vision of the right eye following a high-velocity injury. The patient was noted to have a closed globe injury with associated retinal detachment and vitreous hemorrhage. An initial orbital CT scan did not reveal any IOFB, despite and intact globe. However, repeat a CT head and orbit scan revealed an intracranial magnetic foreign body lodged in the right frontal lobe.Conclusion: A CT scan of the brain and paranasal sinuses should be obtained along with a CT orbit in case of high-velocity orbital/ocular trauma.Keywords: intraorbital foreign body, IOFB, intracranial foreign body, CT scan, retinal detachment
