Periorbital ecchymosis as a sign of perforating injury of the globe


Correspondence: Mr Seyed M Ghazi-Nouri, Department of Vitreoretinal Surgery, Moorfields Eye Hospital, London, EC1V 2PD, UK. Email:


The distinction between penetrating eye injury with retained intraocular foreign body and perforating globe injuries is not always easy clinically. The case is presented of a 25-year-old man who sustained a perforating eye injury that was through a clear self-sealing corneal entry site and had no conjunctival or periorbital injury. He had periorbital ecchymosis on presentation suggesting that the globe had been perforated with resulting retro-orbital blood tracking to the periorbital region. This sign would not be expected had the foreign body remained intraocular. The management options of these cases are discussed.