Impacted iron nail in the orbit and maxillary sinus through a corneo-scleral perforation: a case report

Authors

  • Ranju Kharel Sitaula Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies,
  • V Gautam Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies,
  • Krishna KC Department of Dentistry, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu,
  • DN Shah Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies,

DOI:

https://doi.org/10.3126/nepjoph.v5i2.8742

Keywords:

foreign body, perforation, trauma

Abstract

Introduction: Open globe injury is one of the commonest ophthalmic emergencies, and when accompanied by intraocular foreign bodies, the condition carries a poorer prognosis.

Objective: To report a rare case of perforating injury of the globe with an iron nail which got lodged in the maxillary sinus.

Case: A ten-year-old boy presented with the history of sudden painful loss of vision in his right eye. He reported that he was hit forcefully by the tail of a cow a day before the presentation. There was no perception of light in that eye. The ocular examination revealed a full thickness corneo-scleral perforation with prolapsed uveal tissue. The X-ray of the right orbit showed an impacted foreign body in the inferior orbit and computed tomography scan of the orbit confirmed the presence of a vertically impacted metal piece in the right orbit and right maxillary sinus. The repair of the perforation and removal of the impacted nail was done in two stages. The globe anatomy was maintained but the vision could not be restored due to the grave nature of the trauma.

Conclusion: Perforating globe injury is an important cause of monocular blindness.

Nepal J Ophthalmol 2013; 5(10): 268-271

DOI: http://dx.doi.org/10.3126/nepjoph.v5i2.8742

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Published

2013-09-25

How to Cite

Kharel Sitaula, R., Gautam, V., KC, K., & Shah, D. (2013). Impacted iron nail in the orbit and maxillary sinus through a corneo-scleral perforation: a case report. Nepalese Journal of Ophthalmology, 5(2), 268–271. https://doi.org/10.3126/nepjoph.v5i2.8742

Issue

Section

Case Reports