Two Cases of Intraorbital Wooden Foreign Bodies.

Jang, Ji Hoon; Kim, Byoung Jin

Case Report

Journal of the Korean Ophthalmological Society 2004;45(4):691-698.
Published online April 1, 2004.

Two Cases of Intraorbital Wooden Foreign Bodies.

Department of Ophthalmology, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea. feeloph@hanmir.com

안와내 발생한 나무이물 2예

장지훈 ( Jang Ji Hun ) , 김병진 ( Kim Byeong Jin )

Abstract

PURPOSE
To report two cases of acute and chronic intraorbital wooden foreign bodies. METHODS: We sutured an 11-year-old boy who had sustained forehead laceration with a pencil (Case 1) and sutured a 43-year-old man who had sustained lower eyelid laceration due to a wooden splinter embedded in the eyelid 1 month before (Case 2). We confirmed the presence of intraorbital wooden foreign bodies in both cases using radiological examinations and removed them. RESULTS: In Case 1, a pencil from the primary wound, and the patient obtained good visual acuity and full extraocular motility for six months. In Case 2, granulated wooden foreign bodies were removed and had limited extraocular motility and diplopia at post-operative three months. CONCLUSIONS: Unremoved intraorbital foreign bodies may lead to many ophthalmologic sequelae. If intraorbital foreign bodies intrude into the adjacent central nervous system, it may lead to fatal complications. The actual presence of intraorbital wooden foreign bodies should require radiological examinations; when confirmed, they should be removed surgically.

Key Words: Intraorbital wood foreign body;Orbital trauma