Indian Journal of Ophthalmology

ARTICLES
Year
: 1976  |  Volume : 24  |  Issue : 3  |  Page : 38--39

Retained foreign body in orbito-maxillary region


RB Saxena, Piyush Matalia 
 Dept of Ophthalmology, M.P. Shah Medical College and Irwin Group of Hospitals, Jamnagar (Gujarat), India

Correspondence Address:
R B Saxena
Dept of Ophthalmology, M.P. Shah Medical College and Irwin Group of Hospitals, Jamnagar (Gujarat)
India




How to cite this article:
Saxena R B, Matalia P. Retained foreign body in orbito-maxillary region.Indian J Ophthalmol 1976;24:38-39


How to cite this URL:
Saxena R B, Matalia P. Retained foreign body in orbito-maxillary region. Indian J Ophthalmol [serial online] 1976 [cited 2021 Jan 24 ];24:38-39
Available from: https://www.ijo.in/text.asp?1976/24/3/38/31299


Full Text

Retained foreign body in the orbit is commonly seen in accident and during war injuries. This may remain associated with the perforation of the globe. Foreign body retained in the orbito-maxillary region, is a rare incidence[1].

The present report is a case of retained foreign body in the orbito-maxillary region reaching up to the junction of hard and soft palate.

 Case Report



R. N., 40 years female was brought to the eye department, Irwin Group of Hospitals and M. P. Shah medical college, Jamnagar, by police from the city jail on 22nd January 1974 with the complaints of loss of vision right eye, inability to open the eye and redness since one day. History revealed an assault by her son in-law with a knife a day before. There was no history of bleeding from nose, mouth or vomiting and fever.

 On Examination



Right eye showed marked oedema of the lids with the linear 1 cm. through and through wound at lateral side of the upper lid near the orbital margin [Figure 1]. Con­junctival chemosis was extensive and was covering part of the cornea. On exposure of upper lid a metallic blunt end of the foreign body was seen at the upper fornix.

Cornea showed deep folds. Anterior chamber was irregular. Fundus examination was not possible due to above mentioned conditions of anterior segment as well as vitreous haemorrhage.

Ocular movements were completely restricted with soft eye ball, having no perception of light. Left eye was clinically normal. An elevated hard area was palpated on the right side of the oral cavity at the junction of the hard and soft palate on E.N.T. examination. Neurolo­gical examination was normal. Radiograms P-A, lateral and Water's views confirmed radio opaque foreign body occupying right orbit, passing through the right maxilla [Figure 2][Figure 3] going down and posterior to the junction of soft and hard pate,

Foreign body was removed under general anaes­thesia. It was a broken blade of knife measuring 8cm in length by 1.7 cm breadth at its broadest part, one pointed and another broken blunt end with only on sharp cutting edge. [Figure 4]

There was double perforation of sclera anterior to equator through which uveal tract and vitreous was pro­lapsing. Eye ball was enuclcated,

 Comments



In the present case the external linear wound was very small but radiological study knife which otherwise could have been easily missed.

Therefore smallest wound needs proper radiological examination and thorough surgi­cal exploration thereafter.

References

1Muxwell, 1954. Text book of ophthalmology by Duke Elder, 4 6314. Edition 1954, Henry Kimpton, London. Thomas, 1954, 'Text book of ophthalmology' by Duke­Elder, 4, page 6315 Edition 1954, Henry Kimpton, London.