Diagnosis and intraoperative localization of a deep orbital organic foreign body

Abstract
The extent of orbital damage following an apparently trivial injury with a benign history can be difficult to assess. Organic orbital foreign bodies are a rare occurrence, and present a challenge to all diagnosticians involved. A case is presented here which demonstrates the valuable diagnostic role of Standardized Echography in detecting a wooden foreign body located in the posterior orbit and the orbital apex, and the important contribution of this diagnostic mode in real-time intraoperative guiding. A review of the limited available literature on this subject is summarized. the limitations of various diagnostic tests and possible changes occurring over time in the wooden fragment as well as in the surrounding orbital tissues are reported and discussed. the patient's slow and incomplete recovery in spite of appropriate treatment was a clue to the retained foreign body.

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