Abstract:
Purpose: Report a case of forgotten foreign body. A twig is perforated the upper eyelid with complicated orbital abscess and ptosis was forgotten 3 weeks from the onset because of closed wound. The surgery of removal foreign body and improve complications were noted.
Design:case report of clinical diagnosis and intervention.
Diagnosis- Main measures: clinical signs, paraclinical and history’s patient. Paraclinical: § X-ray: no sign is detected as twigs did not opacity in X-ray. § Ultrasound: showed foreign bodies in the orbit, but does not specify the shape, the size of the object. Foreign body into the orbit through upper lid causing abscess and ptosis was diagnosed.
Interventions: surgery and results: Foreign body that is a dry tree twig with size 3mmx16mm was removed on day 22
nd since foreign body into the eye. One week after surgery: both eyes open near normal. Three weeks after the removal of foreign body, theright eye completely rehabilitated, vision 10/10, IOP 17mmHg
Conclusion: The initial management and closely monitor patients every day has an important role to remove the foreign body as soon as possible, to minimize complications contribute to the success of treatment. Patients with complications and delay in hospital admission and whether did not find any foreign bodies or not: § Careful detail history’s patient, especially object is small sized such as twig of tree. § Combining the clinical signs: deeply orbital abscess, using strong pressing on the wound to detect the pus out, hyperemia of conjunctivitis, diplopia, ptosis…after trauma. • Signs of subclinical: ultrasound, X-rays, CT. 3. Perform surgery for pus drainage as well as detect foreign body helping remove foreign body sooner with results expected.
