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Photo Essay
October 2002

Severe Stab Injury of the Eyelid Can Mimic Eyeball Perforation

Arch Ophthalmol. 2002;120(10):1410-1411. doi:10.1001/archopht.120.10.1410

A 4-YEAR-OLD boy played with a steak knife in the kitchen by himself, and on falling to the floor, the knife inadvertently stabbed his right upper eyelid (Figure 1). He was transferred immediately to our emergency department for management of this severe injury. As his right eye could not be opened due to incarceration of the knife, which lay just between the eyebrow and the upper lid, eyeball perforation was highly suspected and could not be ruled out after reviewing plain x-ray films (Figure 2) and even computed tomographic scans (Figure 3).

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