15 y/o WM 18 hrs s/p "getting kneed" in right eye during football game. Pt c/o right-sided HA, aggravated with light and visual stimuli. No c/o f/c/n/v or diplopia
OD exam- unable/unwilling to cooperate with visual acuity, CVF, or retinal examination. Paralysis/limitation of upward and downward gaze. OS exam and remainder of physical exam unremarkable.
Frontal and lateral skull films unremarkable. No sinus (Waters' view) performed. Orbital fx with inferior rectus above, below and trapped within the orbital floor. Note hematoma in maxillary sinus
â€¢ Orbital floor fracture
Dx: Orbit Blowout Fracture
Dx Confirmed by: Clinical and Imaging
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