Don Liu1, Essam Al Shail. 1. Oculoplastics/Orbit Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Abstract
OBJECTIVE: To emphasize the potential complications of a retained orbital wooden foreign body (WFB) and the rationale of a surgical technique. DESIGN: Two interventional case reports. PARTICIPANTS: Two patients sustained an orbital WFB injury. Both patients had ocular complications despite repeated attempts to remove the suspected residues. INTERVENTION: Computed tomography and magnetic resonance imaging of both patients at different intervals revealed evidence of orbital foreign body migration toward the cranium. A surgical technique combing transcranial and orbital approaches was used to remove the residues. MAIN OUTCOME MEASURES: Preoperative and postoperative vision, proptosis, ocular motility, and various ocular symptoms and signs. RESULTS: In both patients, no postoperative complications were seen, and all preoperative symptoms and signs were resolved at 9- and 19-month follow-ups, respectively. CONCLUSIONS: A retained orbital WFB can cause early or late complications and is known to have the potential to migrate intracranially. In selected patients, a team approach may be the best technique to ensure complete removal.
OBJECTIVE: To emphasize the potential complications of a retained orbital wooden foreign body (WFB) and the rationale of a surgical technique. DESIGN: Two interventional case reports. PARTICIPANTS: Two patients sustained an orbital WFB injury. Both patients had ocular complications despite repeated attempts to remove the suspected residues. INTERVENTION: Computed tomography and magnetic resonance imaging of both patients at different intervals revealed evidence of orbital foreign body migration toward the cranium. A surgical technique combing transcranial and orbital approaches was used to remove the residues. MAIN OUTCOME MEASURES: Preoperative and postoperative vision, proptosis, ocular motility, and various ocular symptoms and signs. RESULTS: In both patients, no postoperative complications were seen, and all preoperative symptoms and signs were resolved at 9- and 19-month follow-ups, respectively. CONCLUSIONS: A retained orbital WFB can cause early or late complications and is known to have the potential to migrate intracranially. In selected patients, a team approach may be the best technique to ensure complete removal.
Authors: Tim Squire; Matthew Sherlock; Peter Wilson; Beng Tan; Nigel Hope; Suzanne E Anderson Journal: Skeletal Radiol Date: 2010-08-15 Impact factor: 2.199