A case of large non metallic intraorbital extraocular foreign body

Abstract

A 36 year old male presented with history of Road traffic accident to casualty, on presentation patient had vision of Hand movements in Right eye on examination patient had entry wound in lid, cornea edema with Descemet membrane folds, fundus examination could not be done due to hazy media . CT orbit revealed a large Intraorbital extraocular  hyperdense foreign body, B  Scan showed a large foreign body at 12 o' to 1 o' clock position with after shadowing .  Foreign body was removed intoto under Local anaesthesia through anterior orbitotomy which measured 1x1 cm and was non metallic in nature. Patient has a vision of 6 by 36 post operatively and there were no signs infection This case is being presented as the foreign body was non metallic in  nature which is large in size and it was removed in toto and in time which decreases infection rate and has better visual prognosis.