Ocular foreign bodies may be threat to vision loss. Superficial foreign body present on the conjunctiva or cornea can be easily detected and removed, and may not cause much harm if treated appropriately without delay. Subconjunctival foreign bodies are relatively rare, commonly missed and present as foreign body granuloma, even if they are visible their extent in deeper tissue is difficult to assess. Foreign bodies penetrating the ocular coat can result in partial or full thickness penetration of cornea and sclera with or without involvement of posterior segment. Here we present a case of subconjunctival metallic foreign body embedded in deeper sclera in a 22-year male working in factory. Foreign body was removed carefully under local anaesthesia avoiding further damage to the eye.

We report a case of lobular capillary hemangioma of the conjunctiva in a 32‐year‐old man, who had no history of eye surgery or trauma, and did not respond to topical corticosteroid therapy. He was treated successfully by surgical excision. Excisional biopsy confirms the diagnosis and rules out any malignant lesion in medically uncontrolled cases.

Spectacle-related glass foreign body eye injury is commonly associated with sports activities and a significant contributor to penetrating eye injury. Optically clear glass particles may easily be missed during the examination. We present a case of intrastromal glass foreign body embedded in superficial layers of corneal stroma associated with sports-related spectacle injury in a 21-year male. There were multiple superficial lacerations and multiple small glass fragments on the surface of the cornea. After the removal of glass fragments under a slit lamp, the eye was washed thoroughly and patched with antibiotic and cycloplegic eye drops for twenty-four hours. However, the next day we could detect a small intrastromal glass fragment in the superficial layers of the corneal stroma under slit-lamp examination with high magnification. A small piece of glass (1mm in length) was removed under topical anaesthesia.

Trauma involving the eye, orbital and periorbital regions are commonly seen in cases of road traffic accidents, sports injuries and physical assaults, but cases of intraorbital / periorbital foreign bodies are rare. Early presentation, history of trauma, and imaging help in diagnosis. However, sometimes the diagnosis is missed, particularly in cases with late presentation and a vague history of minor trauma and trauma with a non-metallic foreign body. A missed foreign body may present later with infection, repeated inflammation, ptosis, and proptosis and motility defect, further complicating the management. Here, we present a case of missed foreign body during the primary repair of facial injury in a 32-year male with polytrauma sustained in a road traffic accident. Evidence of foreign body was reported in a CT scan head advised for head injury. Re-exploration of wound and removal of foreign body is performed under local anaesthesia.