A teenaged boy presented with a 2-week history of a red left eye and extraocular movement restriction with a history of contact lens wear but denied a history of trauma. His visual acuity was 20/50, and a tender red nodule on the inferotemporal sclera (Fig A) with anterior vitritis were found. Magnetic resonance imaging revealed enhancement of the lateral and inferior recti and adjacent fat (Fig B). An intraocular foreign body (IOFB) embedded in the inferotemporal retina (Fig C) was found on fundoscopy and was later removed following pars plana vitrectomy, resolving the intraocular and orbital inflammation. Final visual acuity was 20/25. Gross examination confirmed the IOFB to be an eyelash (Fig D). (Magnified version of Fig A–D is available online at http://www.aaojournal.org).

https://www.aaojournal.org/article/S0161-6420(20)30525-X/fulltext