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Patient retains 6/6 vision despite 3cm piece of wood in his eye

The foreign body was removed after the 36-year-old man presented to hospital with a red, watery eye following a motorcycle accident

motorcycle
A 36-year-old man who presented to hospital with a red, watery eye was found to have a 3cm piece of wood embedded below the surface.

BMJ Case Reports authors shared that the patient’s visual acuity was 6/6 in both eyes and his right eye was normal.  

He reported being involved in a motorcycle accident three days before his presentation to hospital.

His left eyelid was mildly swollen, with a tender nodule near the corner of his eye closest to his nose.

Following a diagnosis of post-traumatic infectious scleritis, the patient was started on topical and oral antibiotics.

Scleral deroofing of the nodule was performed and the ocular surface was irrigated.

However, the patient’s symptoms persisted and he began to suffer from double vision.

A CT scan revealed a 30mm by 6mm orbital wooden foreign body, which was surgically removed along with splinters of wood.

The patient was given oral antibiotics following the operation and was reported to be “doing well” at a six-month follow up.

Image credit: Pixabay/christels