Wood Penetrating Orbital Injury: A Case Report

Abstract
The commonest cause of penetrating orbital injuries was stick/wood (41.2%). This is to report a case of wood penetrating orbital injury and its management. A 55-years-old woman had wood penetrating injury on lower eyelid. She fell forward on corn stick, accidentally while farming. Visual acuity was 5/20; mild proptosis and chemosis. Restriction of downward and upward gaze (left eye). Head and orbita CT scan and eye ultrasound was normal. A 3, 6 cm wood chip was removed from the wound site, using clamp under general anesthesia. After wound debridement and exploration of foreign bodies and wound area was clean, then the orbicularis and skin are closed with 6-0 polyglactin suture. Post operation visual acuity was 5/9 and improvement in ocular motility restriction. Penetrating or perforating injuries should be evaluated and treated immediately. Depending on the material causing the injury and location of entry, severe vision loss can occur. Systemic, topical antibiotics and tetanus toxoid injection was given to reduce the incidence of endophthalmitis, orbital cellulitis or panopthalmitis.