case_images: PMC11791116_01
case_images: Images showing left eye ptosis.. a and b: clinical photographs showing left eye ptosis with inferomedially rotated eyeball at presentation.
case_images: cureus-0017-00000076895-i01.jpg
case_images: PMC11791116_01_cureus-0017-00000076895-i01.jpg
case_images: FIG1
case_images: The eyeball was displaced inferomedially (Figure 1a, Figure 1b).
case_images: CT images.. a and b: non-contrast computed tomography axial and sagittal view showing a linear hypodense foreign body of size 6.8 cm x 4.7 mm extending from the orbit to the left cavernous sinus passing through the superior orbital fissure.
case_images: cureus-0017-00000076895-i02.jpg
case_images: PMC11791116_01_cureus-0017-00000076895-i02.jpg
case_images: FIG2
case_images: Non-contrast computerized tomography of the brain with orbit axial and sagittal view showed a linear hypodense foreign body of size 6.8 cm x 4.7 mm (Figure 2a, Figure 2b) transversing through the left orbit (in-between the medial surface of the globe and medial wall of the orbit).
case_images: MRI images.. a: T1 weighted magnetic resonance imaging reveals a wooden foreign body as a linear hypointense structure on the left side. (yellow arrow). b: T2 weighted magnetic resonance imaging reveals a hypointense foreign body with optic nerve compression at the orbital apex from granulation tissue (yellow arrow).
case_images: cureus-0017-00000076895-i03.jpg
case_images: PMC11791116_01_cureus-0017-00000076895-i03.jpg
case_images: FIG3
case_images: T1, T2 hypointense structure of similar dimensions traversing between the medial and inferior recti, coursing through the superior orbital fissure, and terminating as aforementioned (Figure 3a, Figure 3b). The foreign body displaced the optic nerve superolateral with compression at the orbital apex from adjoining granulation tissue.
case_images: MR Angiograms.. a: The MR angiogram reveals a loss of signal from the cavernous segment of the left internal carotid artery, which is suggestive of thrombosis (yellow arrow). b: T1 weighted post-contrast coronal image reveals a hypointense foreign body within the left cavernous sinus with heterogeneously enhancing granulation tissue (yellow arrow).
case_images: cureus-0017-00000076895-i04.jpg
case_images: PMC11791116_01_cureus-0017-00000076895-i04.jpg
case_images: FIG4
case_images: MR angiogram revealed a loss of signal from the cavernous segment of the left internal carotid artery, suggestive of thrombosis (Figure 4a). T1-weighted post-contrast coronal image revealed a hypointense foreign body within the left cavernous sinus with heterogeneously enhancing granulation tissue (Figure 4b).
case_images: Intraoperative images.. a: intra-operative image showing the deeply lodged wooden foreign body identified by trans-conjunctival approach. b: wooden foreign body post-retrieval in-toto.
case_images: cureus-0017-00000076895-i05.jpg
case_images: PMC11791116_01_cureus-0017-00000076895-i05.jpg
case_images: FIG5
case_images: The stump was identified from a deep exploration of periorbital tissue, and the foreign body was extricated in one piece with forceps (Figure 5a, Figure 5b).
case_images: PMC11791116_02