Fig. 19
A. A 70-year-old man presented to the eye clinic with a 2-day history of increasing proptosis, lid swelling conjunctival chemosis, and injection. One day earlier, while walking in a field, he bent over to tie his shoe and thought something might have hit him in the eye area. A computed tomography (CT) scan was performed and reported as normal. The patient was admitted and treated as an orbital cellulitis. B. Forty-eight hours later while examining the patient using the slit lamp, the lower eyelid was retracted downward. A foreign body was seen in the inferior fornix. With gentle pressure on the lower eyelid a 1 inch piece of tree branch spontaneously extruded.
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