Deepsekhar Das

Abstract

Background: Bullet injuries to the orbit are rare occurrences in a civilian’s life and are usually associated with severe ocular morbidity. The amount of damage inflicted by a bullet depends on various factors like the distance of the shooter from the victim, the speed of the bullet, the angle of impact, the site of damage, etc. Case Report: The authors here report a case where a male teenager presented to the ophthalmology casualty with a history of gunshot injury to his left eye. A foreign body was noted to be lodged in his left orbit on radiological imaging causing vitreous haemorrhage and traumatic optic neuropathy. The foreign body was then surgically removed from the orbit. It was the bullet of a rifle 3.2 cm long. Conclusion: Intraorbital foreign body management must be tailored according to their type and location as well as to the clinical characteristics of the patient Keywords : Bullet in orbit, Foreign Body, Orbit, Trauma, Metallic

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Abstract

Lesions of the caruncle are rare and diverse in presentation. A 26-year-old female patient presented with swelling 1 X 1 mm in dimension, whitish and avascular in the left caruncular region with no overlying vessels or appendages. She noted a recent increase in size of the mass. There were no evidence of preauricular tags/ sinus/ fistulas/cleft palate/ facial asymmetry/ vertebral or limbal anomalies. Excisional biopsy confirmed the diagnosis of dermoid cyst. Goldenhar-Gorlin syndrome must be kept in mind in the presence of lipodermoids and other ocular or systemic abnormalities. A close correlation between ophthalmologists and pathologists need to be maintained in the evaluation of doubtful lesions.   Keywords: Carcuncular lesion, Dermoid, Cyst

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Abstract

Corneal foreign bodies are commonly seen in an ophthalmology emergency. The most common cause of this condition is a workplace-related injury. In these situations, the management differs from patient to patient and depends on a wide range of variables. In this article, we aim to review the literature on corneal foreign bodies in the past 50 years and classify them based on their level of impaction and elaborately discuss all the management options described for each.   Keywords: Foreign bodies, cornea, surgical techniques, ocular trauma, corneal foreign body

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