title: Unexpected finding in ocular surface trauma: a large intraorbital foreign body (bullet).
abstract: Sometimes intraorbital foreign bodies lead to unexpected findings. A 16-year old boy was referred due to ocular surface trauma. A conjunctival laceration was detected at the level of the left caruncle with associated left exotropia, reduced adduction as well as a preretinal hemorrhage along the nasal periphery of the fundus. A blow-out fracture of the medial orbital wall was suspected and a CT scan of the orbits was scheduled which revealed the presence of a large intraorbital foreign body. The removal of the intraorbital foreign body (which proved to be a bullet) and precautionary laser photocoagulation along the nasal periphery of the left eye were performed. Ocular surface trauma may reveal unexpected findings, such as an intraorbital foreign body, requiring investigation by a CT scan.
authors.affiliation: Department of Ophthalmology, University General Hospital of Heraklion, Greece.
authors.forename: Efstathios T
authors.initials: ET
authors.lastname: Detorakis
authors.forename: Emmanouil K
authors.initials: EK
authors.lastname: Symvoulakis
authors.forename: Eleni
authors.initials: E
authors.lastname: Drakonaki
authors.forename: Ekaterini
authors.initials: E
authors.lastname: Halkia
authors.forename: Miltiadis K
authors.initials: MK
authors.lastname: Tsilimbaris
mesh_terms: D000293:Adolescent; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging*; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D009915:Orbit / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging*