Abstract

Study design:Case report
Purpose:The diagnosis of intraorbital wooden foreign bodies is often delayed as they are difficult to detect with standard imaging techniques.
Method:A 47-year-old male presented with recurrent right sided periorbital inflammation for the past 7 months following injury with a wooden splinter.He was prescribed with multiple courses of systemic antibiotics with no resolution.Suspecting atypical mycobacterial infection,a course of anti-tubercular drugs was given.However,there was recurrence of the discharging sinus.He was then referred to ophthalmology where a repeat CT scan was advised.The scan showed a sinus track going into inferior orbital fissure surrounded by areas of hyperdensity suggesting an inspissated foreign body.
Results:Orbital exploration was performed and multiple wooden fragments was retrieved.
Conclusion:Intraorbital organic foreign bodies like wood cause recurrent infections that may lead to vision loss and even life-threatening complications.