Abstract :
Purpose: To assess the pattern of foreign bodies, types of injuries, different types of clinical presentations, radiological appearance, visual status, and management strategies of intra orbital foreign bodies.
Methodology: This observational case series study was done in a tertiary eye care centre included all cases with IOFB irrespective of age and sex. CT scan of orbit helped to identify the position, size and pattern of IOFB.
Results: We evaluated 27 cases of IOFB including 23 male (85.2%) and 04 female (14.8%) patients. The mean age ± SD was 26.68 ± 12.55 years. The types of injuries were accidental (40.7%), political clash (26%), social clash (22.2%) and surgical fault (11.1%). The metallic FB and vegetative FB were found in the same number of cases (12) which was (44.4%), Gauze piece in 2 cases (7.4%) and 1 case (3.7%) was of Retained DCR tube. The mean duration of presentation is 28.16 days. Left orbit was involved in highest cases (80%) in compared to right. The Location of Foreign bodies was in extraconal (44.4%), intraconal (26%) and extraconal to intraconal (29.6%). In 14.8% cases of foreign bodies reached in the apex of the orbit. Surgeries were performed in 25 (92.6%) cases and conservative treatment was given only for 2 cases (7.4%). The intra orbital foreign bodies were removed in 25 (92.5%) cases. The improvement of visual acuity after 6 weeks of treatment was highly significant (P value < 0.001).
Conclusion: Early diagnosis, surgical exploration and extraction, when indicated, greatly influence visual prognosis & ï¬nal outcome.
Keyword :
Computed tomography, Foreign body, Orbit, Vision