Year : 1987 | Volume
: 35 | Issue : 3 | Page : 162--163
Abnormal foreign body in the orbit
Ramkumar Verma, Basant Kumar Singh
Ophthalmic Surgeon, National Plan for control of blindness, Bangla Garh, Darbhanga-846 004, Bihar, India
Ophthalmic Surgeon, National Plan for control of blindness, Bangla Garh, Darbhanga-846 004, Bihar
A case of unusual intra orbital foreign body (split piece of bamboo stick) entering the orbit through the medial canthus involving the caruncle and plica but otherwise sparing the anterior segment of the eye, but producing vitreous haemorrhages and oedema of the disc is reported The foreign body was removed and there was no diplopia or limitation of movement and vision improved to 6/24 without glasses.
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Verma R, Singh BK. Abnormal foreign body in the orbit.Indian J Ophthalmol 1987;35:162-163
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Verma R, Singh BK. Abnormal foreign body in the orbit. Indian J Ophthalmol [serial online] 1987 [cited 2020 Jan 24 ];35:162-163
Available from: http://www.ijo.in/text.asp?1987/35/3/162/26189
Foreign bodies forcing their way into the orbit are bizarre and legion. Duke Elder has reported that though the size of the object entering the orbit may be large, the eye may escape injury. But it may cause contusion of the globe, intraocular haemorrhage, detachment of retina, dislocation of lens and rupture of choroid.
J.KS., a Hindu male aged about30 years was fast asleep in his thatched house, when a split piece of bamboo cross bar of his house fell down in a storm causing a penetrating injury near the medial canthus of the left eye. On clinical examination both eyes were found in normal anatomical position The left eye was red, a lacerated wound on the medial side of upper and lower lids 1/2" above and 1" below the medial canthus was seen Projecting part of the split bamboo stick was just visible in the wound Left eye lid was oedematosus, conjunctiva adjoining the plica semilunaris and the caruncle was lacerated with subconjunctival haemorrhage. Anterior segment was otherwise normal. Vision was reduced to finger counting at 1 meter distance. Tension was 18 mm of Schiotz in the left eye and 17 mm of Schiotz in the right eye. Movement of both eye balls were full and free in all cardinal directions Details of the fund us of left eye could not be seen because of hazy media due to vitreous haemorrhage.
Under general anaesthesia artery forceps was applied to grasp the tip of the object The whole of the foreign body i.e. the split piece of bamboo stick came out along the path of its entry without application of any force The object measured 65 x20 x5 mm The lacerated wound margins were sutured Pad and bandage was applied and the patient was put on systemic antibiotic.
The patient reported for follow up after 15 day! from the day of stitch removal. On examination both eyes were externally normal On examination both eyes were externally normal, vitreous haemorrhages in the left eye was absorbed, oedema of the optic disc had subsided, vision in the left eye had returned to 6/24 without glasses There was no diplopia or any limitation of movement.
|1||Duke Elder : Text Book of Ophthalmology 1954, Vol.VI 6313-14.|
|2||Higgens: Lancet i, 1891, 87.|
|3||Maxwell, Brit J. Ophthal 1952, XXXVI, 460. |
|4||Schischkin : April. 1904, Woenno Med. J.|