Question 60

You are covering call for the long Thanksgiving weekend and you see a 13 year old boy who sustained a BB gun injury. He was shot with a BB which entered the right orbit and based on the CT scan, the BB settled into the superonasal orbit just posterior to the globe. Luckily, the globe is intact without damage. EOMs are full. No diplopia. Color vision is normal with no RAPD. Vision is 20/20 OU. What is the most appropriate next step?

Observation

Surgical exploration and removal of the foreign body

Check serum lead level

MRI of the orbits

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