Orbital foreign body misdiagnosed as superior orbital rim fracture

Abstract

Orbital foreign bodies may be difficult to diagnose clinically andradiologically. In cases where a foreign body is suspected, boththe mechanism of injury and the composition of the offending materialneed to be taken into account. A case is described of an orbitalforeign body misdiagnosed as a superior orbital rim fracture, resultingin persistent ptosis and diplopia, and leading to delayed recoveryfor the patient, a commercial airline pilot.