case_images: PMC4008901_01
case_images: External photograph at presentation showing left eye eccentric proptosis and discharging sinus at medial canthus
case_images: OJO-7-38-g001.jpg
case_images: PMC4008901_01_OJO-7-38-g001.jpg
case_images: F1
case_images: On examination there was eccentric proptosis, discharging sinus at medial canthus, lid edema, chemosis, relative afferent pupillary defect (RAPD), restricted extraocular movements in all gazes [Figure 1], intraocular pressure within normal limits and no light perception due to compressive optic neuropathy.
case_images: Computed tomography orbit coronal scan showing a retained foreign body along medial orbital wall and the medial rectus muscle and surrounding reactionary granuloma, blow out fracture of orbital roof, medial wall, and floor
case_images: OJO-7-38-g002.jpg
case_images: PMC4008901_01_OJO-7-38-g002.jpg
case_images: F2
case_images: Computed tomography (CT) scan showed a retained foreign body along medial orbital wall, medial rectus muscle and surrounding reactionary granuloma, blow out fracture of orbital roof, medial wall, and floor [Figure 2].
case_images: Magnetic resonance imaging orbits axial scan showing hyperdense linear structure along medial quadrant of left orbit measuring 2.17 x 0.59 cm with coexistent ethmoidal and maxillary sinusitis
case_images: OJO-7-38-g003.jpg
case_images: PMC4008901_01_OJO-7-38-g003.jpg
case_images: F3
case_images: Magnetic resonance imaging (MRI) showed hyperdense attenuation along the medial orbital wall suspected to be a retained foreign body [Figure 3] in the ethmoidal sinus and took expert opinion from an otorhinolaryngologist.
case_images: Multiple wooden foreign bodies of different sizes retrieved by transnasal endoscopic removal
case_images: OJO-7-38-g004.jpg
case_images: PMC4008901_01_OJO-7-38-g004.jpg
case_images: F4
case_images: Multiple wooden foreign bodies of varying sizes covered with granulomatous tissue were retrieved from the ethmoid sinus [Figure 4] through nasal endoscopy route.
case_images: External photograph (after endoscopic removal of foreign body) showing left eye in exotropia due to restrictive strabismus
case_images: OJO-7-38-g005.jpg
case_images: PMC4008901_01_OJO-7-38-g005.jpg
case_images: F5
case_images: Postoperatively, he was treated with oral antibiotics and analgesics following which proptosis subsided but there was residual restrictive strabismus [Figure 5] due to dense fibrosis and no light perception due to long standing compressive optic neuropathy.