[Swollen left eye, day after an elective shoulder-MRI]

A 63-year-old male checked in 2 days after he had a shoulder MRI with complaints of a swollen and painful left eye. An anteroposterior X-ray of the orbit showed a foreign body of approximately 2.5 cm in de left maxillary sinus and orbit. 11 years ago, patient built a barn using an automatic staple-gun. He recalls having a little wound on his left cheek. His medical history showed that the man had undergone an MRI for his knee 3 years earlier and another for prostate complaints a year ago. Exact localization of the foreign body was confirmed by a CT scan of the orbit. The extraction of the foreign body has been performed by a combined approach, nasal by the otorhinolaryngologist and orbital by the oral and maxillofacial surgeon. This is the first case report on orbital penetration of a luxated foreign body after 3 elective MRI's.