• J Accid Emerg Med · Jul 1998

    Case Reports

    Silent orbitocranial penetration by a pencil.

    • S Dinakaran and P J Noble.
    • Department of Ophthalmology, Doncaster Royal Infirmary.
    • J Accid Emerg Med. 1998 Jul 1;15(4):274-5.

    ObjectiveTo emphasise the value of computed tomography even in the absence of symptoms in a case of penetrating injury of the upper eyelid.MethodsCase report.ResultsAlthough clinically asymptomatic, penetration of upper eyelid was associated with intracranial penetration that left a track in the brain parenchyma.ConclusionsComputed tomography of orbit and brain is an important investigation, even in seemingly trivial eyelid injury, to reveal the full extent of the damage.

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