Minimal sequelae of a missed large bamboo intraorbital foreign body traversing the orbit and infratemporal fossa: a case report

Abstract Background: Any ocular trauma involving the orbit may involve the adjacent structures and resulting in both sight-threatening and life-threatening injuries. Here we present a unique case of a missed large hollow bamboo in orbit traversing the orbit and infratemporal fossa with minimal sequelae. Case presentation: The patient is a 31-year-old farmer suffered an injury to his right eye. Although the external wound existed, the intraorbital foreign body was mis-diagnosed by the initial physician. After being admitted to our emergency room, the patient was underwent CT scan. Due to the large and hollow object, an intraorbital foreign body traversing the orbit and infratemporal fossa was detected easily. Emergency operation was performed immediately and the object was removed totally without any complication. Conclusion: The physician during the initial evaluation of eye trauma patients should take the history and physical examination extraordinarily carefully, and a CT or MRI scan may be recommended to prevent missing such foreign bodies in orbit. Once the diagnosis of such orbital foreign body is established, the object should be removed in time. Keywords: Bamboo; intraorbital foreign body; computed tomography; minimal sequelae.