Saudi Journal of Ophthalmology

Saudi Journal of Ophthalmology

Volume 33, Issue 2, April–June 2019, Pages 165-167
Saudi Journal of Ophthalmology

Case Report
An unusual journey of a periocular date palm thorn

https://doi.org/10.1016/j.sjopt.2018.07.004Get rights and content
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Abstract

An 8-year-old boy presented with a left lower lid swelling of one month duration. His parents gave a history of date palm thorn injury on left side of the forehead three months back which was removed partially by a local doctor. On examination, there was a left infraorbital swelling with diffuse oedema of the left sided cheek and temporal fossa. A scar mark (entry wound) was detected over the left eyebrow. Three-D configuration of contrast enhanced computed tomography (CECT) of the orbit showed a linear foreign body behind the zygomatic bone. The lower lid mass was excised, the date palm thorn was recovered from a pocket behind the zygomatic bone. Histopathology of the excised mass showed presence of granulation tissue. We describe the management of such a rare case along with review of literature.

Keywords

Periorbital injury
Date palm thorn
3D imaging

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Peer review under responsibility of Saudi Ophthalmological Society, King Saud University.