case_images: PMC10823325_01
case_images: Gross external examination of left eye showing swelling and bruising affecting both upper and lower eyelids.
case_images: omad130f1.jpg
case_images: PMC10823325_01_omad130f1.jpg
case_images: f1
case_images: Orbital examination revealed a swollen and bruised upper and lower eye lid with conjunctival chemosis and sub conjunctival hematoma (Fig. 1).
case_images: Sagittal section of CT-Head showing multiple shrapnel lodged in the left pterygopalatine fossa resulting fracture of the orbital apex (white arrow).
case_images: omad130f2.jpg
case_images: PMC10823325_01_omad130f2.jpg
case_images: f2
case_images: Unenhanced computerized tomography (CT) scan of the brain and orbit was performed immediately which showed multiple shrapnel lodged in the left maxillary sinus, and inferior part of left orbit extending up to the inferior part of orbital apex and a large shrapnel in left pterygopalatine fossa abutting the inferolateral recess of sphenoid sinus (Fig. 2).
case_images: Axial section of CT-Head showing intact left optic nerve (white arrow).
case_images: omad130f3.jpg
case_images: PMC10823325_01_omad130f3.jpg
case_images: f3
case_images: The left globe and optic nerve was preserved and there were no signs of intracranial hemorrhage (Fig. 3).