Blow-out fractures of the orbital floor are typically produced by a blunt, intensive force localized to the orbital region that is usually caused by an object larger than the orbital rim. The aim of this case report is to demonstrate that blow-out fractures can occur not only by a classical trauma mechanism but also from the consequences of a penetrating injury. An 8-year-old male child was referred to us as a case of restricted superior gaze in his right eye. As per the ophthalmology report, the patient had a fall 2 weeks back with ocular injury. A CT scan confirmed a foreign body within the inferior recti muscles with incomplete fracture of orbital floor of right eye. After few day, the foreign body got extruded out itself but there was restricted upward gaze. The case was successfully managed surgically. We conclude that a blow-out fracture is not only due to blunt injuries but may occur in patients with penetrating injuries also.
