Case of the Week - Patient Summary 3811Peer Reviewed and Certified -
Orbit Blowout Fracture o Common due to relative weakness of orbital floor and lack of compressible tissue/air space within bony orbit.
o Surgically correctable
| Case of the Week - Patient Summary 3811 Peer Reviewed and Certified - | |
| Demographics: 15 y.o. boy | |
| History & Chief complaint: | |
| 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 | |
| Physical exam and Laboratory: | |
| 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. | |
| Summary of Findings: | |
| 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
| |
| Differential Diagnosis: | |
| • Orbital floor fracture | |
| Diagnosis: | |
| Orbit Blowout Fracture | |
| Confirmed by: Clinical and Imaging | |
| Orbital Floor Blowout Fracture with Inferior Rectus entrapment
o Common due to relative weakness of orbital floor and lack of compressible tissue/air space within bony orbit. o Surgically correctable | |
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