Retained orbital wooden foreign body: a surgical technique and rationale.
OBJECTIVE
To emphasize the potential complications of a retained orbital wooden foreign body (WFB) and the rationale of a surgical technique.


METHODS
Two interventional case reports.


METHODS
Two patients sustained an orbital WFB injury. Both patients had ocular complications despite repeated attempts to remove the suspected residues.


METHODS
Computed tomography and magnetic resonance imaging of both patients at different intervals revealed evidence of orbital foreign body migration toward the cranium. A surgical technique combing transcranial and orbital approaches was used to remove the residues.


METHODS
Preoperative and postoperative vision, proptosis, ocular motility, and various ocular symptoms and signs.


RESULTS
In both patients, no postoperative complications were seen, and all preoperative symptoms and signs were resolved at 9- and 19-month follow-ups, respectively.


CONCLUSIONS
A retained orbital WFB can cause early or late complications and is known to have the potential to migrate intracranially. In selected patients, a team approach may be the best technique to ensure complete removal.
Liu
Don
D
Oculoplastics/Orbit Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Al Shail
Essam
E
D000328:Adult; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology; D005094:Exophthalmos / Q000175:diagnosis / Q000209:etiology; D005129:Eye Foreign Bodies / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D009915:Orbit / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology; D014792:Visual Acuity; D014934:Wood