Indian Journal of Ophthalmology

: 2009  |  Volume : 57  |  Issue : 5  |  Page : 389--391

An unusual case of total ophthalmoplegia

Ravindra Kumar Chowdhury, Navnit Gupta, Krishna Charan Padhy 
 J.P.M. Rotary Eye Hospital & Research Institute, C.D.A. Sector-6, Bidanasi, Cuttack - 753014, India

Correspondence Address:
Ravindra Kumar Chowdhury
Department of Ophthalmology, V.S.S. Medical College, Burla, Sambalpur, Orissa - 768017

An eight-year-old male child presented with drooping of the left eyelid with a history of penetrating injury of hard palate by an iron spoon seven days ago, which had already been removed by the neurosurgeon as the computed tomography scan revealed a spoon in the left posterior ethmoid and sphenoid bone penetrating into the middle cranial fossa. On examination, visual acuity was 20/20 in each eye and left eye showed total ophthalmoplegia. Oral cavity revealed a hole in the left lateral part of the hard palate. We managed the case with tapering dose of systemic prednisolone. The total ophthalmoplegia was markedly improved in one month. Cases of foreign bodies in the orbit with intracranial extension are not unusual, but the path this foreign body traveled through the hard palate without affecting the optic nerve, internal carotid artery or cavernous sinus makes an interesting variation.

How to cite this article:
Chowdhury RK, Gupta N, Padhy KC. An unusual case of total ophthalmoplegia.Indian J Ophthalmol 2009;57:389-391

How to cite this URL:
Chowdhury RK, Gupta N, Padhy KC. An unusual case of total ophthalmoplegia. Indian J Ophthalmol [serial online] 2009 [cited 2024 Feb 28 ];57:389-391
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