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Case report
More to it than meets the eye: a case of retained intraorbital foreign body removed using transcutaneous orbital endoscopic surgery
  1. Kshitij D Shah,
  2. Susan P Chacko,
  3. Tejal Patel and
  4. Renuka Bradoo
  1. ENT, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Susan P Chacko; dr.susanchacko{at}


The possibility of a retained foreign body should always be considered when a patient presents with a history of orbital trauma, especially when the patient is unresponsive or temporarily responsive to treatment. Not all cases of retained foreign body present with decreased vision or restricted mobility or fever. The entry wound is also not apparent on examination in all cases. In summary, meticulous history-taking, thorough examination, high index of suspicion along with a low threshold for imaging studies are essential to make a timely diagnosis of a retained intraorbital foreign body. The prompt removal with the appropriate approach may not only save the eye but also the life of the patient.

  • ear, nose and throat/otolaryngology
  • ophthalmology
  • radiology
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  • Contributors All the authors have read the manuscript and have approved this submission. SPC on behalf of all of us is submitting this 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.

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