Organic Foreign Bodies

Usha R. Kim

Dr. Usha Kim received her MBBS from Bharathiar University, Coimbatore, in 1991, Diploma in Ophthalmology and MNAMS (Oph), from Aravind Eye Hospital, Madurai, in the year 1994 and 1995, respectively. She completed her specialty training under the guidance of Dr. William B. Stewart at University of California, San Francisco, and at Salt Lake City, Utah, in the United States of America. She has established and is currently heading the Orbit, Oculoplasty and Ocular Oncology department at Aravind Eye Hospital since 1998. Under her efficient leadership, the clinic has seen several innovations such as the addition of Ocular Oncology Services and an Ocular Prosthesis Centre. She has trained nearly 55 national and 16 international candidates as fellows in the field of Orbit, Oculoplasty and Ocular Oncology. She has also trained 41 Ocularists both at the national and international level.

She is also The Director of the MLOP program which forms the backbone of the Aravind Eye Care System. She has been a member of Aravind Research Committee since March 1998 and is a Principle investigator for many studies conducted at Aravind Eye Care System. She is actively involved in various research activities and currently focuses on genetics of Retinoblastoma. She has 43 publications to her credit – 23 international and 18 national. She has also written chapters in many books and co-authored a book on “Imaging in Orbit and Neuro-ophthalmology.” She established “The Ring of Hope” in 2004, a program that provides free service to patients, children, and adults who have life-threatening cancers in the eye like retinoblastoma. The Ring of Hope Fund, since its inception, has supported 1600 ocular cancer patients, who would otherwise not have been able to receive treatment.



Priti Bhoutekar

Dr. Priti Bhoutekar (Urade) is a dedicated medical professional with prior work and education experiences at renowned institutes in Delhi and South India. She works with sustained focus and interest in the field of Orbit and Oculoplasty. She completed her MBBS (2004 – 2010) from Government medical college, Nagpur. In 2013, she received M.D Ophthalmology from prestigious AIIMS, Delhi. She also received DNB Ophthalmology in 2015. During her fellowship in orbit and Oculoplasty (2013-2015), she worked and got trained under Dr. Usha Kim at Aravind eye hospital, Madurai. Currently works as consultant Orbit and Ophthalmic Plastic surgeon in central India. She has one international publication to her name. She presented a paper on “A novel approach for optic nerve sheath decompression; our experiences and outcomes” during APSOPRS-OPAI 2014, Delhi. Also, her poster on ‘Large spot laser for treatment of retinopathy of prematurity’ was presented in AAO, Chicago (Oct 2014).



Swapna Parekh-Chattopadhyay

Dr. Swapna has done her MBBS from Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, and postgraduation in Ophthalmology (M.S. Ophthalmology) from Topiwala National Medical Hospital and Nair Hospital, Mumbai, after which she joined Sir Ganga Ram Hospital, New Delhi, for 2 years as Senior Registrar, where she worked and trained under Dr. A. K. Grover and obtained extensive experience in orbit and oculoplasty surgeries. She then joined a long term fellowship program in Orbit, Oculoplasty and Ocular Oncology at Aravind Eye Hospital, Madurai, where she honed her technical skills under the guidance of Dr. Usha Kim, a stalwart in the field.At present Dr. Swapna is a practicing orbit and oculoplasty consultant specializing in plastic surgery of the eyelids, eye socket reconstruction, lacrimal surgeries, pediatrics oculoplastics, cosmetic eyelid and brow surgery, and nonsurgical facial cosmetic treatments (Botox and fillers). Experience: 10 years.



Orbital and ocular traumas are important emergencies encountered by ophthalmologists. Orbital organic foreign bodies comprise one of the most common and serious sequelae following trauma. These incidents commonly occur in domestic, industrial, and agricultural life. The retention of wooden piece is among the most common organic foreign bodies following orbital trauma. Apart from the development of infection, another major concern related to these foreign bodies includes complications due to damage of important structures crowded in orbital cavity including the globe [1].


The types of organic foreign body which may be retained in orbit can be innumerable.

  1. I.

    Vegetative materials

    • Wood piece

    • Thorn

    • Grains


  2. II.

    Animal tissue

    • Insects

    • Fish



Orbital cavity is formed by four bony walls and provides protection to the globe from major trauma. Owing to the presence of orbital wall on all sides except anteriorly, foreign bodies usually enter orbit from the anterior route penetrating the lid, canthus, conjunctiva, or globe. since the lateral aspect of the globe is more exposed it is susceptible to injuries and acts as a common entry for foreign bodies. It may be the ends of objects forced into the orbit and broken off and thus retained or flying particles which usually have sufficient energy to penetrate orbital tissue. Transorbital intracranial penetration of foreign bodies is highly unusual but carries a high risk of mortality owing to secondary intracranial infections because of the contaminated nature of organic foreign bodies [2].

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Oct 16, 2017 | Posted by in OPHTHALMOLOGY | Comments Off on Organic Foreign Bodies

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