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Orbital foreign bodies are not uncommon but a large wooden foreign body involving ipsilateral orbit, nasal cavity and opposite maxilla is not only rare but potentially vision threatening and can be life threatening too. A 43-year-old gentleman presented with injury to his left eye with a tree branch while riding a motorcycle. Examination revealed a left upper eyelid laceration with a hard wooden foreign body lodged between supraorbital rim and upper eyelid, ipsilateral ptosis and periorbital oedema. CT scan showed a transnasal intraorbital foreign body extending from left orbit medially towards opposite maxilla. Exploration was done under general anesthesia and a large linear wooden foreign body measuring 11.5 x 2 x 1.5 cm3 was removed from left orbit without any evidence of damage to vital structures. This is one of the largest reported intraorbital wooden foreign body to the best of our knowledge, hence the report.

A 5 year old boy with a history of fall from a height of about 4 feet, presented after one week with swelling, watering and discharge of the right eye. He had severe conjunctival chemosis with superior displacement of the globe. Computed Tomography (CT) showed a linear low attenuation tract in the right orbit extending from the inferolateral wall up to the left uncinate process of the ethmoid bone with increasing Hounsfield unit after 10 days. The parents did not agree for early exploration. After 10 days an exploration was done and a large linear and irregular wooden foreign body (FB) measuring 4.5 x 1.5 cm2 was removed from the right orbit and a smaller one from the nasal cavity. Four weeks post surgery, his vision was 6/9 in the right eye with the eyeball in the normal position. This case was challenging because of the late presentation, parents not agreeing for early exploration, difficulty in diagnosing by CT and a large and very deep penetrating FB.

We report a case of orbitocranial wooden foreign body, piercing through roof of orbit, frontal sinus and frontal lobe and reaching up to corpus callosum. It was, missed at the time of injury by treating surgeon and removed by us after five months. Meticulous exploration of wound and radiological imaging study of orbital injuries is mandatory at the time of injury as they complement each other in the diagnosis. Unlike metal foreign bodies that are easily diagnosed on radiological imaging, intraorbital wooden foreign bodies are often missed on cursory clinical evaluation and radiodiagnosis. This may result into significant ocular morbidity at a later date.

An interesting case is presented of a wooden foreign body in the neck entering through the right lower vestibule of the mouth. The foreign body traveled subcutaneously in the neck and got stuck in the clavicle, without damaging any vital structures. In this case, the authors highlight the mode of entry of the foreign body, the peculiarity of the wooden foreign body, the management protocol and the outcomes of the penetrating neck injury by the wooden stick.

Perforating injuries of the orbit involving the paranasal sinuses are uncommon. We report a case in which a large wooden foreign body lodged in the posterior orbit and maxillary sinus was surgically removed by a combined approach by ophthalmologists and ear, nose and throat surgeons.

A misplaced contact lens is a common ocular emergency presenting to the eye casualty. We report a case of lost soft contact lens which migrated in the lid and presented 13 years later with symptomatic eye lid swelling. Authors in the past have reported migration and subsequent retention of lost hard lenses in locations such as the superior fornix and eyelid. To the best of our knowledge, misplaced soft contact lens masquerading as a chalazion has not been reported in the literature. Consideration should be given to the possibility of a retained contact lens in a patient with a history of a lost or misplaced lens, and examination of the ocular surface with double eversion of the upper lid should be performed.

Expulsive suprachoroidal hemorrhage can be surgical or spontaneous. Spontaneous expulsive suprachoroidal hemorrhage (SESCH) is a rare entity. Most of the reported cases of SESCH were caused by a combination of corneal pathology and glaucoma. We are reporting a rare presentation of SESCH with no pre-existing glaucoma or corneal pathology and caused by massive intra- and peri-ocular hemorrhage due to decompensated liver disease.

Diving into lakes and ponds is a common activity of rural children. We present two cases of penetrating orbital injuries from plant matter sustained in this manner. Such injuries pose a particular challenge because wooden foreign bodies are often missed during orbital exploration, and current imaging modalities cannot reliably identify retained organic material. When a patient presents with orbital penetration after a high-risk mechanism of injury, such as freshwater diving, the clinician must maintain a very high index of suspicion for retained wooden foreign body.