https://medwinpublishers.com/OAJO/orbital-foreign-bodies-a-hospital-based-study-of-44-cases.pdf

Abstract

Aim: To evaluate the pattern of injuries caused by orbital foreign bodies, types of orbital foreign bodies and also describe the management outline, including clinical presentation, radiological appearance, and treatment protocol. Material and Method: This observational case series study had been conducted in a tertiary eye hospital in Bangladesh from January 2013 to December 2020. Variables included demographic profile, clinical profile, and pattern of injuries, types of foreign bodies, medical and surgical treatment, and treatment outcome. Results: A total of forty-four (44) patients had been analyzed including male patients (75%) and female patients (25%) of orbital foreign body. Most of the patients (82%) were below the 40 years of age and young male patients. The mean age was 28.26 years and median age was 24 years. The patterns of injuries were Accidental trauma( 47.7%), physical assault (38.6%), iatrogenic (13.6%). The kinds of OFBs included metallic (34%), vegetative/wooden (43.2%), non-organic nonmetallic (22.7%). Orbitotomy (84%) had found as the main approach of the surgery in this study. The improvement of visual acuity after 6 weeks of treatment was highly significant (p value <0.001). Conclusion: Accidental trauma is the leading cause of OFB. Metallic foreign has reported as higher than others OFBs. The young age is preponderance for the injury. Early diagnosis, surgical exploration and extraction, when indicated greatly influence visual prognosis and final outcome.