A missed case of a large occult intraorbital branch foreign body caused by tree branch laceration: case report - Takeaways - MDSpire

A missed case of a large occult intraorbital branch foreign body caused by tree branch laceration: case report

  • By

  • Bolun Xu

  • Shufeng Xu

  • Yixuan Tong

  • Zongduan Zhang

  • June 3, 2026

  • 0 min

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  • 1

    A 60-year-old male was misdiagnosed with orbital cellulitis after sustaining a tree branch injury, leading to delayed treatment.

  • 2

    Orbital MRI revealed a linear abnormal signal in the right medial rectus muscle, indicating an intraorbital foreign body.

  • 3

    Emergency surgery successfully removed a 2 cm branch foreign body, with subsequent recovery of visual acuity and resolution of diplopia.

  • 4

    MRI is preferred for diagnosing vegetative intraorbital foreign bodies, while CT is the first-line screening tool for orbital trauma.

  • 5

    Clinicians should maintain a high suspicion for intraorbital foreign bodies in ocular trauma cases to avoid misdiagnosis.

Original Source(s)

A missed case of a large occult intraorbital branch foreign body caused by tree branch laceration: case report

  • by Bolun Xu, Shufeng Xu, Yixuan Tong, Zongduan Zhang

  • June 3, 2026

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