Bullet in the orbital apex: Explosive situation!

Abstract

A healthy thirty-seven-year-old male presented with a gunshot injury to the eye. The bullet was lodged in the orbital apex and had caused rupture of the left globe and extensive damage to the orbital soft tissues including the optic nerve, as well as the bones at the apex. This large metallic foreign body needed to be removed as it was causing continuous bleeding and cellulitis; also, its location was precarious. The surgery for tracking and removal of the bullet presented several interesting pointers which are described in this case report.