An unusual journey of a periocular date palm thorn

• Main Authors: Chandana Chakraborti, Shreya Gayen
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-04-01
• Series: Saudi Journal of Ophthalmology
• Online Access: http://www.sciencedirect.com/science/article/pii/S1319453418302777

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