RT Journal Article
SR Electronic
T1 Retained intraorbital wooden foreign body presenting with combined anterior and posterior scleritis
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e232237
DO 10.1136/bcr-2019-232237
VO 13
IS 2
A1 Anasua Ganguly Kapoor
A1 Vempuluru Sai Vijitha
A1 Merle Fernandes
YR 2020
UL http://casereports.bmj.com/content/13/2/e232237.abstract
AB 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.