Orbitonasal metallic foreign body

Description

A 23-year-old male patient presented with the history of metallic wire injury following a burst of an instrument. The duration of injury was 2 hours. Clinical examination revealed a visual acuity of 20/20 in each eye, right brow showed a superficial skin laceration. Medial side of the right orbit had an impacted curved metallic wire. Extraocular motility in the right eye was within normal limits (figure 1). Anterior segment and posterior segment examination was unremarkable in both the eyes. B-scan ultrasound revealed a high amplitude spike along the side of the right globe but without any penetration; however, it showed curvilinear course along the medial orbital wall (figure 2A).

Figure 1

Front and lateral clinical profile showing a curvilinear metallic foreign body impacted along the superior and nasal aspect of the right upper eyelid. Extraocular motilities were unaffected.

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