5-year-old girl with left upper eyelid swelling.

A 5-year-old girl presented to the ophthalmology clinic of Queen Elizabeth Hospital, Kota Kinabalu, Malaysia, with a complaint of swelling of the left upper eyelid (Figure 1). The girl’s mother, who accompanied her, claimed that the girl had fallen on the ground a few hours previously. The child had a sudden onset of the lid swelling following the fall, associated with pain around the eyeball. Both mother and daughter denied any penetrating injury. No other significant history was elucidated.