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Learning from errors
Case report
Retained intraorbital wooden foreign body presenting with combined anterior and posterior scleritis
  1. Anasua Ganguly Kapoor1,
  2. Vempuluru Sai Vijitha1 and
  3. Merle Fernandes2
  1. 1Ocular Oncology and Ophthalmic Plastic Surgery Services, LV Prasad Eye Institute, Vijayawada, Andhra Pradesh, India
  2. 2Cornea and Anterior Segment Sevices, LV Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India
  1. Correspondence to Dr Anasua Ganguly Kapoor; anasua21{at}yahoo.com

Abstract

Penetrating injury of the orbit with a wooden stick is not an uncommon finding in ocular emergencies. A 36-year-old man presented with redness, pain in the left eye following fall from a motorcycle 3 days ago. Ocular examination showed features of combined anterior and posterior scleritis in the form of an anterior scleral nodule, retinal folds and T sign on ultrasonography. There was worsening of symptoms along with new onset diplopia following scleral deroofing which led to the suspicion of an intraorbital wooden foreign body (IOWFB). CT scan of orbit showed a well-defined hypodensity between the medial rectus and optic nerve resembling a pocket of air surrounded by a rim of hyperdensity. IOWFB was removed under direct visualisation via transconjunctival orbitotomy. This is the case of a missed retained IOWFB presenting with features of combined anterior and posterior scleritis.

  • trauma
  • retina

https://doi.org/10.1136/bcr-2019-232237

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    Footnotes

    • Contributors AGK is responsible for managing the patient, formulation and editing of the manuscript. VSV is responsible for collection of data and drafting the manuscript. MF is responsible for managing the patient and editing the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.