Paediatric injury- A case report

Abstract

Ocular trauma is the leading cause of monocular blindness among children.Paediatric ocular trauma has a significant impact on the future quality of life of children. Here, we report a case of a 3 year old child who presented with swelling in upper lid following fall from bed. The symptoms got worse the next day. On repeated probing, grandmother gave a history of child holding pen when the fall occurred. Computerized tomography of orbit was done and it showed an intra orbital foreign body. Anterior orbitotomy was done under general anesthesia and foreign body was removed. Patient recovered with excellent visual prognosis. This report highlights importance of history taking, high suspicion of intra orbital foreign body, and need for imaging whenever indicated.