ABSTRACT
Intraorbital foreign bodies often present a confusing clinical picture. Wooden foreign bodies are notorious for remaining quiescent for a long time, before presenting with a variety of complications. The wound of entry may often be small and self-sealing. Wooden foreign bodies also show a propensity to break during attempted removal. Intraorbital wood is often not detected by standard diagnostic tests like the computed tomography scan, adding to the diagnostic dilemma. The presence of an intraorbital mass with a discharging sinus should evoke suspicion of a retained organic foreign body, regardless of the time interval between the trauma and current presentation. It is imperative to maintain a high index of suspicion in such cases to avoid misdiagnosis. We report an unusual case of a missed wooden intraorbital foreign body, which spontaneously extruded after five years.
Subject(s)
Adult , Diagnostic Errors , Eye Foreign Bodies/physiopathology , Eye Injuries, Penetrating/physiopathology , Humans , Male , Orbit/injuries , Tomography, X-Ray Computed , WoodABSTRACT
Se analizan 63 casos consecutivos de pacientes portadores de un cuerpo extraño intraocular de segmento posterior, que consultaron en el Servicio de Oftalmología del Hospital del Trabajador, en un período de 6 años. Se comentan los hechos de la clínica, vía de abordaje, resultados quirúrgicos, complicaciones y visión final. El seguimiento promedio fue de 20,9 meses. La vía de abordaje más frecuente fue la vitrectomía por par-plana y se obtuvo una visión final de 66,7 por ciento o igual a 20/40