DR. SRISHTI KHULLAR

DR. SONALI V. KUMAR, DR.SANJAY KUMAR MISHRA

Abstract

46 years old male sustained injury to both eyes during IED blast in Dec 2001.CTorbit showed metallic orbital FB. He underwent primary repair RE.Due to traumatic optic neuropathy, patient lost vision in RE.Intraorbital foreign body was not removed as it was deeply seated and thought to be inert. Patient was lost to follow up until 2019 when he presented with complain of growth in right upper eyelid with pus discharge. Incision,drainage and excision biopsy of upper lid growth revealed chronic inflammation with giant cell reaction, hence, specific pathology could not be traced.CTOrbit was advised which showed phthisis bulbi with superomedial 15x11mm hyperreflective shadow suggestive of extraconal foreign body with dystrophic calcification.RE anterior orbitotomy was done and 1.4x1cm stone foreign body was removed.The aim of presentation to highlight any patient having orbital foreign body should be kept under close follow up to be on the lookoutforsignsof ocular inflammation and infection.