Intraorbital organic foreign body in a tree surgeon.
A tree surgeon suffered a traumatic floor fracture complicated by multiple organic foreign bodies. CT confirmed a left floor fracture and medial wall fracture and decreased attenuation in the inferior orbit and maxillary sinus. Exploration of the orbital floor led to the removal of multiple wooden fragments up to 2.5 cm in length. Additional surgeries led to the removal of additional wooden fragments. Detection of organic intraorbital foreign bodies requires a high degree of clinical suspicion and close consultation with a radiologist.
Edgington
Bryan D
BD
Department of Ophthalmology, The George Washington University, Medical Faculty Associates, Washington, D.C. 20037, U.S.A. bdedgington@hotmail.com
Geist
Craig E
CE
Kuo
Jana
J
D000062:Accidents, Occupational; D000328:Adult; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D009915:Orbit / Q000293:injuries*; D009917:Orbital Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014934:Wood