A 5-month-old male infant presented with an impaled wooden foreign body within the inferotemporal right orbit (Figure A). The infant was on a relative's lap when he lunged forward toward a plate with frilled cocktail toothpicks. Examination revealed full ductions and normally reactive pupils without an afferent pupillary defect. Magnetic resonance imaging showed the toothpick in the inferotemporal extraconal orbit, coursing medially and missing the globe and lateral rectus muscle (Figure B, arrow). The toothpick, with cellophane attachments, was removed and measured to have a penetration depth of 2.7 cm (Figure C, inked portion). The patient received antibiotics for prophylaxis, and on follow-up he had a favorable cosmetic outcome without functional deficits
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