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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.
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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
Orbit Blowout FractureDiagnosis Confirmed by: Clinical and Imaging
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This is not a "Case of the Week"MedPix™ COW Cases are eligible for Category 1 CME and CNE
MedPix™ COW Cases are eligible for Category 1 CME and CNE
The Department of Radiology and Radiological Sciences
Uniformed Services University
Bethesda, Maryland 20814.