Open AccessMore to it than meets the eye: a case of retained intraorbital foreign body removed using transcutaneous orbital endoscopic surgery
Author(s) -
K. L. Shah,
Susan P Chacko,
Tejal Patel,
Renuka Bradoo
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-233198
Subject(s) - medicine , foreign body , surgery , foreign body removal , medical history , foreign bodies , physical examination , general surgery
The possibility of a retained foreign body should always be considered when a patient presents with a history of orbital trauma, especially when the patient is unresponsive or temporarily responsive to treatment. Not all cases of retained foreign body present with decreased vision or restricted mobility or fever. The entry wound is also not apparent on examination in all cases. In summary, meticulous history-taking, thorough examination, high index of suspicion along with a low threshold for imaging studies are essential to make a timely diagnosis of a retained intraorbital foreign body. The prompt removal with the appropriate approach may not only save the eye but also the life of the patient.