Diagnosis and Management of Wooden Foreign Bodies in the Orbit: A Case Report

Hyo Bong Kim, Hoon Kim, Soo Yeon Lim, In Chang Koh
2021 Journal of Wound Management and Research  
The diagnosis and management of intraorbital foreign bodies are challenging for surgeons. Foreign bodies made of wood and those located close to the optic nerve are especially difficult to manage. Herein, we report our experience with the diagnosis and management of intraorbital wooden foreign bodies utilizing magnetic resonance imaging (MRI). A 50-year-old man presented to the emergency room with a laceration on his left upper eyelid. No foreign bodies were visible through the laceration, and
more » ... omputed tomography findings showed only evidence of cellulitis with abscess formation. Despite drainage and antibiotics, the cellulitis worsened; subsequently, we found multiple wooden foreign bodies on MRI. Surgical removal was performed, excluding those in the intraconal space to avoid optic nerve damage. The patient recovered well and has not experienced any ophthalmic complications at 1 year of follow-up.
doi:10.22467/jwmr.2021.01571 fatcat:zzxnqwkx55d6lh3msoimkydmbi