Delayed Presentation of an Intraorbital Metallic Foreign Body: A Case Report and Surgical Intervention

Ocular trauma remains a significant cause of vision loss, often resulting from penetrating injuries caused by foreign bodies such as glass, metal, wood, and other materials. Despite advancements in ocular surgery, retained intraorbital foreign bodies may lead to delayed complications if not promptly identified and managed. We present the case of a 59-year-old male who reported severe right eye pain and diplopia seven years following a work-related facial injury. Initially asymptomatic, a computed tomography (CT) scan later identified a 30-mm metallic foreign body lodged in the medial orbit. Surgical removal via anterior orbitotomy successfully alleviated symptoms, leading to the restoration of normal visual function and improvement of the patient's visual acuity to 10/10. This case highlights the importance of comprehensive evaluation in patients with a history of ocular trauma, even in the absence of immediate symptoms. While retained intraorbital foreign bodies may remain inert for extended periods, they can eventually cause chronic inflammation, pain, and other complications. CT imaging remains crucial for detecting metallic foreign bodies, and timely surgical intervention is essential to prevent further complications and preserve vision. Additionally, the case underscores the importance of preventive safety measures in the workplace to reduce the risk of such injuries.