Abstract
Orbital injuries caused by foreign bodies are common among children and young adults and may cause ocular morbidity. We report a rare case of an 18-month-old child who sustained an injury with a large metallic keychain in the right medial orbital wall and bridge of the nose following a fall. Timely radiological imaging with X-ray and CT orbit helped in localization and planned removal of the metallic keychain in the most atraumatic way. Early surgical removal with a multidisciplinary approach played a pivotal role in preventing infection, salvaging vision, and anatomical integrity, leading to holistic recovery of the child.
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