PURPOSE: To present an ultrasonographic finding that simulated an intr
aocular foreign body after repair of a ruptured globe. METHOD: Case re
port, An ultrasonogram of a post-trauma eye was correlated with a comp
uted tomographic scan, RESULTS: B-scan ultrasonography was performed o
n an eye after repair of a corneoscleral laceration. The ultrasonogram
showed a highly reflective echo source suggestive of a foreign body;
however, an orbital computed tomographic scan demonstrated that the le
sion was intraorbital air. CONCLUSION: Although a highly reflective ec
ho source in the presence of a ruptured globe may suggest a foreign bo
dy, the presence of orbital air should also be considered when interpr
eting ultrasonograms used in the preoperative and postoperative manage
ment of globe trauma.