Intra-orbital Marble Injury in a Child After a Fall: A Case Report

An intra-orbital foreign body is a devastating ocular condition that might end up as blindness if prompt treatment is not carried out. This is a case of a 2-year-old girl who presented with a right lower eyelid laceration. She was playing with a marble and a polyvinyl chloride (PVC) pipe. Accidentally, she fell with the PVC pipe that pierced her right lower eyelid region. CT scan of the brain, orbit, and paranasal sinus revealed a spherical-shaped high-attenuation focus within the right maxillary sinus extending to the inferior orbital cavity. She underwent surgical exploration and removal of the foreign body and recovered well after surgery. Pediatric periocular injury demands a high index of suspicion for a more serious injury, such as an intra-orbital foreign body. A thorough history, examination, and appropriate imaging are crucial in such cases. A meticulous removal of the foreign body is important to avoid complications and injury to surrounding structures.