Abstract
BackgroundPenetrating orbital injuries pose a serious threat to vision, ocular motility, and in some cases, life. The setting and causes of eye injury are diverse, but previous studies have demonstrated that the risk and type of injury is often correlated with age, gender, and race. Pediatric ocular injury is often accidental and may be preventable. A focused history and prompt ocular examination are essential to immediate management.Case presentationThis article describes a case of protruding foreign body-related penetrating orbit injury with a retained foreign body in a 4-year-old male from a town in the eastern part of Nepal. The child presented to the emergency with foreign body in situ without receiving any pre emergency care without any medical attendance. The patient was managed with non-operative removal of foreign body in the emergency. The case discussion will review the initial presentation, examination, resultant management decisions, and final outcome.ConclusionForeign body presentations may be diverse and non-operative management may be considered in selected cases. Resource availability and conditions at presentations may also influence the management decisions. This case presentation has described such a scenario in developing country like Nepal and is expected to be interest across various medical specialties.
Highlights
Penetrating orbital injuries pose a serious threat to vision, ocular motility, and in some cases, life
Foreign body presentations may be diverse and non-operative management may be considered in selected cases
Case report A 4 year old male presented to the emergency department with the history of falling off a ladder 3 hours prior
Summary
Penetrating ocular foreign bodies can have varied presentations. Time constraints and complications guide the management. This case shows that successful removal of a penetrating oculo-cranial foreign body by non-operative methods can be done in the emergency department in carefully selected patients. Consent Written informed consent was obtained from the patient’s mother (as patient is a minor) for the publication of the case report and the accompanying images. Competing interests The authors declare that they have no competing interests. Authors’ contributions All authors read and approved the final manuscript. All the authors contributed to the case conception, design, interpretation and manuscript completion. Author details 1Head of Department, Dharan, Nepal. Received: 4 September 2012 Accepted: 23 November 2013 Published: 28 November 2013
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