The following case is of unusual interest because of its circumstances and the absence of a similar operative removal in the literature. P. S., a 13-year-old white schoolboy, on the advice of his private physican came to the Eye Clinic of the Outpatient Department of the Kings County Hospital, on January 22, 1940.Four days before admission he was accidentally shot in the left eye with a single air rifle buck shot by a playmate, who was at a distance of about ten feet from the patient when the rifle discharged. They were playing Indians in the cellar, and the boy picked up the rifle unaware of the fact that it was loaded.Physical examination was entirely negative except for the local condition, which exhibited some redness of the scleral vessels of the left eye and a punctate wound through the sclera on a level with the canthus, midway between the inner canthus and the medial margin of the iris. The structures in the left side of the nose showed no evidence of trauma, but there was a marked congestion of the nasal mucosa on that side. Emergency X-ray studies were made and the patient was advised to enter the hospital on the eye service.The X-ray findings were reported as follows: "Evidence of spherical foreign body in the region of the left orbit, localized in the left posterior ethmoids."Examination of the X-ray films showed the shot to be less than an eighth of an inch under the roof of the left posterior ethmoid cell and a fourth of an inch forward from the anterior wall of the sphenoid sinus, insofar as one may approximate these distances from the "-From the Department of Otolaryngology of the Kings County Hospital.
