Syed Shoeb Ahmad, MBBS, MS, FAEH, FCLI | Department of Ophthalmology, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia Shuaibah Abdul Ghani, MS | Department of Ophthalmology, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia Khoo Say Peng, MS | Dr Peter Kong Specialist Eye Centre, Kota Kinabalu, Malaysia Puliventhan Sellamuthu, MS | Department of Neurosurgery, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia
At presentation, the patient did not have any neurological deficits. She was fully conscious, oriented, and her Glasgow Coma Scale was 15. On examination, the right eye was found to be normal. The left eye showed an edematous upper eyelid and a small laceration near the upper eyelid just below the superior orbital rim. There was chemosis and congestion of the conjunctiva superiorly. Examination of the anterior and posterior segments was otherwise normal. The extraocular movements were restricted only on upgaze. There was a firm, palpable mass below the wound surface.