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A 5-year-old girl with left upper eyelid swelling
Digital Journal of Ophthalmology 2012
Volume 18, Number 4
December 31, 2012
DOI: 10.5693/djo.03.2012.05.001
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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
Treatment
A team of ophthalmologists, a neurosurgeon, and anesthetists planned for extraction of the foreign body under general anesthesia. The laceration in the upper eyelid was extended and probed. On extending the entry wound, the proximal end of the foreign body became visible. The neurosurgeon then grasped the foreign body with forceps and with a slight twisting movement was able to bring the foreign body out of the orbit (Figure 3). On removal, it was found to be a lead pencil (Figure 4).
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Figure 3
Three stages in the extraction of the foreign body.

Figure 4
The pencil after extraction.