# Could Radiographs Be More Helpful in the Removal of an Intraorbital Foreign Body Than a Surgical Navigation System? A Neurosurgical Case Report

## TL;DR

A case report shows that radiographs can be more effective than a surgical navigation system in removing an intraorbital foreign body.

## Contribution

Demonstrates a clinical scenario where radiographs outperformed a surgical navigation system in intraorbital foreign body removal.

## Key findings

- A surgical navigation system failed to precisely locate the intraorbital foreign body during surgery.
- Radiographs taken with a C-arm improved orientation and successful removal of the foreign body.
- The patient recovered well with no complications one month post-surgery.

## Abstract

Intraorbital foreign body (IOFB) is a vision-threatening condition that requires careful management. IOFB can manifest clinically from asymptomatic up to severe inflammation and blindness. Diagnosis and treatment are determined by the nature of the IOFB. The type, location, and complications related to the IOFB are taken into consideration when planning the surgery. Here, we report the case of a male in his 20s who was admitted to our clinic with a computed tomography (CT) scan which verified the presence of an IOFB. The patient underwent surgery and the IOFB was removed. Using a surgical navigation system (SNS), it was difficult to pinpoint the IOFB precisely during surgery. We took radiographs with a C-arm to improve our orientation and locate the IOFB. The patient recovered uneventfully, and no issues were noticed one month following surgery. This case report highlights the selection of treatment methods and demonstrates when radiographs can be more helpful than an SNS in the removal of the IOFB.