Abstract

WOOD AS AN INTRAORBITAL FOREIGN BODY (IOFB) IS INFREQUENT, AND AS IT IS ORGANIC MATTER PATIENTS REPRESENT AN INCREASED RISK OF INFECTION.
CASE PRESENTATION- ON REFERRAL, THE PATIENT PRESENTED WITH PAIN, BLURRY VISION AND DISCHARGE FROM HIS LEFT EYE. THE PREVIOUS EVENING, HE FELL WITH HIS FACE DOWN. EXAMINATION REVEALED ZONE 1 TEAR, EXUDATES,HYPOPYON AND IRIS PLUGGING WITH VISION PLPR+ IN OS. USG REVEALED A 25*2MM SHARP OBJECT IN INTRAOCULAR SPACE. PATIENT UNDERWENT PRIMARY GLOBE REPAIR AND 2 INTRAVITREAL INJECTIONS. SUBSEQUENTLY VITRECTOMY AND IOFB REMOVAL WAS PERFORMED AND PATIENT WAS KEPT ON TOPICAL ANTIBIOTICS, ATROPINE AND TOPICAL AND SYSTEMIC PREDNISOLONE (TAPERING). PATIENT WAS LESS SYMPTOMATIC WITH STABLE VISUAL OUTCOME.
CONCLUSION-THIS CASE DEMONSTRATES THAT WOODEN IOFB WHEN TREATED WITH CAUTION, CAN LEAD TO STABLE VISUAL OUTCOME AND IMPROVED PATIENT’S GENERAL CONDITION WITH ACTIVE PARENTS PARTICIPATION.