Atypical presentation of an unusual foreign body

Arora, Vipul; Kim, Usha R.; Shetty, Shashikant; Shah, Akash D.
June 2010
Indian Journal of Ophthalmology;Jun2010, Vol. 58 Issue 4, p338
Academic Journal
Case Study
A 14-year-old boy presented with intractable diplopia for 10 days following an assault. A thorough history revealed that he was unaware of any penetrating injury. However, imaging demonstrated a radiolucent foreign body between the globe and the orbital floor. On surgical exploration, it was found to be the proximal part of a ball point pen. Its removal resulted in complete resolution of diplopia. Thorough clinical and radiological examination is recommended when a foreign body is suspected in pediatric patients. Prompt diagnosis will aid in early intervention and prevention of long-term complications.


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