title: An undetected intraorbital foreign body after a "trivial" facial injury.
abstract: Intraorbital foreign objects are common after high-velocity injuries and can result in disastrous consequences. A "trivial" facial injury may sometimes obscure the presence of an intraorbital foreign object. Difficulties in the approach to the intraconal space and possible surgical morbidity to the optic nerve make management especially challenging. We are reporting a case wherein an intraconal foreign body was missed during the initial examination of a maxillofacial injury and was subsequently successfully extracted by an endoscopic approach.
authors.affiliation: From the *Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India; and †Refractive Surgery, Vasan Eye Care Hospitals, Chrompet, Chennai, India.
authors.forename: Nagarajan
authors.initials: N
authors.lastname: Swathi
authors.forename: Jayavelu
authors.initials: J
authors.lastname: Umadevi
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D003951:Diagnostic Errors; D005129:Eye Foreign Bodies / Q000209:etiology*; D015807:Eye Injuries, Penetrating / Q000150:complications*; D058447:Eye Pain / Q000209:etiology; D006801:Humans; D008297:Male; D008670:Metals; D014786:Vision Disorders / Q000209:etiology
chemical_list: D008670:Metals