Indian Journal of Ophthalmology (Jan 2020)

An unusual case of orbitocranial wooden foreign body with amazing outcome: A case report

  • Shyam Sundar Das Mohapatra,
  • Jayanta Das,
  • Harsha Bhattacharjee

DOI
https://doi.org/10.4103/ijo.IJO_569_19
Journal volume & issue
Vol. 68, no. 1
pp. 219 – 221

Abstract

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Penetrating orbitocranial injuries can present with foreign body/bodies (FBs) lodged in eye, orbit, and/or brain. But limited literatures are available about FBs lodged partly in orbit and partly intracranially. Here, we present a rare case of orbitocranial wooden FB impacted in right palpebral aperture extending intracranially following accidental fall from height. Unexpectedly, the patient himself removed the FB in fully conscious and oriented state while waiting for neurosurgical intervention, later completely recovered under observation and antibiotic prophylaxis. Therefore, it is important to have high suspicion of intracranial extension in impacted orbital FBs and a team approach for managing such cases.

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