I think I got stabbed in the eye…

January 18, 2014

CT, Face, Facial, Trauma


Patient presented after an altercation.  He thinks he got stabbed in the eye with a “razor blade or a pencil.”  Eye was swollen shut and unable to be opened due to significant edema:

Pencil orbit 1 Pencil Orbit 2

This patient has a radioopaque foreign body just lateral to the globe.  It is penetrating into the posterior orbital fossa but doesn’t appear to be causing proptosis or retrobulbar hematoma.  It does indeed look like a pencil!

Author:  Russell Jones, MD

Image Contributor:  Ken Kelley, MD

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