Silent orbitocranial penetration by a pencil.
OBJECTIVE
To emphasise the value of computed tomography even in the absence of symptoms in a case of penetrating injury of the upper eyelid.


METHODS
Case report.


RESULTS
Although clinically asymptomatic, penetration of upper eyelid was associated with intracranial penetration that left a track in the brain parenchyma.


CONCLUSIONS
Computed tomography of orbit and brain is an important investigation, even in seemingly trivial eyelid injury, to reveal the full extent of the damage.
Department of Ophthalmology, Doncaster Royal Infirmary.
S
S
Dinakaran
P J
PJ
Noble
D001930:Brain Injuries / Q000000981:diagnostic imaging*; D002675:Child, Preschool; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging*; D005547:Foreign Bodies / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed