Orbital socket pain after injury.

Total retinal detachment and neovascular glaucoma occurred after a penetrating injury to the left globe that left the eye blind and painful. A retrobulbar injection of alcohol and enucleation modified but did not relieve the orbital discomfort. At surgery, we discovered a neuroma with cartilaginous metaplasia involving the supratrochlear nerve. Excision of this mass produced relief of symptoms. This is, to our knowledge, the first reported case of a neuroma with cartilaginous metaplasia involving the supratrochlear nerve.