Intraorbital Foreign Body: The Hidden Side of the Iceberg

Intraorbital foreign body may lead to unexpected findings; their management depends on the type of projectile and its intraorbital trajectory. Medical imaging is an imperative part of the initial assessment. The main two risks of these injuries are first mechanical with possible bulbe, nerve, muscle or bone complications and second infectious. We report a case of long metallic intraocular foreign body (radio antenna) causing marked visual impairment, optic nerve dysfunction and III paralysis analyzed by CT scan, and we discuss its management.