An interesting case of metallic foreign body (Nail) in the right orbit

From Otolaryngology Online

Clinical details:

13 years old male patient came to the OPD with h/o injury just below right eye. When he came the injury was 4 days of duration. He had undergone wound suturing as soon as he sustained the injury.

On examination:

Proptosis (mild) of right eye+

Sutured wound seen just below right orbit. wound had healed.

Upwards movement of eye was restricted.

Lateral movements of the eye was normal

Shows metallic foreign body inside the right orbit.

CT scan paranasal sinuses shows metallic foreign body in the floor of right orbit

Patient was taken up for surgery under general anesthesia. The metallic foreign body was removed via right infraorbital incision. This was preferred because he already had the sutured scar in that area.