Multiple Intraorbital Glass Foreign Bodies.

ABSTRACT

It is frequently difficult to identify and localize intraorbital foreign bodies despite modern-day high-resolution imaging studies. Although there can be grave complications associated with retention of organic intraorbital foreign bodies, many believe that removal of such bodies in most cases is unwarranted. A high clinical suspicion, proper choice of imaging studies, and removal by a skilled orbital surgeon probably make the risk of surgical exploration and foreign body removal less than the risk of foreign body retention. We present a case of extraconal foreign bodies (11 glass particles), which required exploration for retrieval. An initial bedside exploration led to locating two foreign bodies (glass particles of 2 × 2 cm and 1 × 1 cm size respectively). A second exploration in the ophthalmology operating theater yielded 11 foreign bodies (glass particles of various sizes) in the superior area of extraconal space.