Korean J Ophthalmol.  1999 Dec;13(2):128-132. 10.3341/kjo.1999.13.2.128.

Orbitocranial injury caused by wood

• Lee JS
• Lee JE
• Oum BS
• Cha SH

• KMID: 1127516
• DOI: http://doi.org/10.3341/kjo.1999.13.2.128

Abstract

A rare case of a patient with orbitocranial injury by a wooden foreign body is reported. Penetrating periorbital wound by a wooden stick with entry site at the right upper eyelid was related to the invasion into the temporal lobe. Fortunately, the anterior and posterior segments of eye were unharmed, but right ocular motility was markedly restricted mechanically in all directions. Forced duction test was strong positive, especially the dextroversion of the right eye. Computed tomography scan showed a well-delineated low density from the orbital wall into the temporal lobe. The wooden foreign body was subsequently removed from the orbit and the temporal lobe, through the neurosurgical frontotemporal approach. After the wooden foreign body was removed, the ocular movement of the right eye fully recovered without any intracranial or ocular complications.

MeSH Terms

Case Report
Eye Foreign Bodies/surgery
Eye Foreign Bodies/radiography
Eye Foreign Bodies/etiology*
Eye Injuries, Penetrating/surgery
Eye Injuries, Penetrating/radiography
Eye Injuries, Penetrating/etiology*
Eye Movements
Head Injuries, Penetrating/surgery
Head Injuries, Penetrating/radiography
Head Injuries, Penetrating/etiology*
Human
Male
Middle Age
Neurosurgical Procedures
Orbit/radiography
Orbit/injuries*
Temporal Lobe/radiography
Temporal Lobe/injuries*
Tomography, X-Ray Computed
Wood*