Penetrating orbital injury with retained metallic foreign body

Penetrating orbital trauma with retained foreign body (FB) does not occur frequently but is an injury that is capable of causing blindness. Optimal management of patients with retained orbital FB requires timely identification and correct determination of the location of the FB in the orbit. The presence of an intraorbital FB should be suspected in every case of orbital trauma. Herein, a case of penetrating orbital injury with a retained metallic FB is reported and the need for appropriate trauma history, physical examination, and radiologic evaluation to minimise the chances of missed diagnosis is highlighted.