Dr. AKSHAY NAIR

, Dr. S.NATARAJAN

Abstract

Surgical management of orbital foreign bodies depend upon the location and nature of the foreign body and the presenting complaints. We demonstrate a case of a wooden foreign body embedded deep in the orbit. Our patient presented with history of trauma three weeks ago, an intact globe, reduced vision, chronic inflammation

and limited ocular motility. Imaging showed a wooden object that had entered the orbit through the

temporal bone, splintered into shards and in close proximity to the orbital apex. The video will highlight the basic principles of wound exploration and surgical closure in cases of foreign bodies with special focus on the imaging features of orbital foreign bodies – organic, inorganic and others. In this step-by-step video, we discuss the challenges faced in our case, the clinico-radiological correlation that needs to be made while dealing with foreign bodies located deep within the orbit and the factors that need to be taken in to consideration before planning surgery.