A case of a large intraorbital wooden foreign body perforating the lateral orbital wall of left eye in a child

Abstract

A 6-year-old child visited our institute with a history of foreign body that stuck in her eye. Computed Tomography (CT) scan report revealed hypodensity embedded in the left lateral orbital wall, abutting and compressing the globe of the left eye with displaced comminuted fracture. We performed a procedure of removal of foreign body from the eye, a procedure that was performed with great difficulty and precision given the sensitivity. On the postoperative day, nil foreign-body was noted in CT scan and there was chemosis and full eyeball movement. The cornea was clear, anterior chamber quiet, the pupil normally reactive. Dilated fundoscopy was normal. We report here a challenging case of a large intraorbital wooden foreign body in the left orbit of a child perforating the lateral wall of the left orbit, which on surgical removal the entire eyeball was found intact and normal. The patient's injury could be considered novel as it was unseen at the hospital and post operatively the anterior and posterior segment was found to be normal. This explain the rarity of the case and hence it hit our inquisitiveness.