FP0270 : Impacted wooden foreign body in the deep orbit survive eyeball and vision in children

Abstract

Purpose Impaction of wooden foreign body in the orbit is a common accidemtal injury. To evaluate nature of the injury, mode of presentation, and subsequent post-operative outcome.
Methods ; This study shows a series of 10 cases each had a accidental impacted wooden FB with preserved vision .6 cases had discharging sinuses and orbital cellulitis with abscess formation. After excluding the possibility of metallic FB by meticulous history taking and radiography, MRI of the orbit was done for confirmation,better delineation, location,extension of the FB.Minimally invasive orbitotomies through different approaches were undertaken for their removal.
Results: FBs were removed from the eyes of all 10 patients, following which all patients had complete resolution of symptoms and EOM restriction within one week to 6 months postoperatively.
Conclusion: Orbital foreign bodies pose difficulties diagnostic and therapeutic challenges.Organic FBs are poorly tolerated,should be removed urgently

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