Ocular globe rupture and orbital blow-out fracture

Case contributed by Dr Shervin Sharifkashani

Presentation

Facial trauma and left orbital pain, and suddenly lost left eye visual acuity.

Patient Data

Age: 25 years
Gender: Male

Left ocular globe rupture and vitreous and choroidal hemorrhage, orbital floor and medial wall blow-out fracture with inferior rectus muscle and orbital fat herniation within the fracture gap, caudal displacement of the medial rectus muscle, and nasal wall and maxillary sinus wall fractures are seen. Hemorrhages within the left maxillary and ethmoid sinuses are seen. Preseptal and postseptal soft tissue emphysema, swelling, and hemorrhage are also noted.

Case Discussion

The case illustrates the rare concomitance of ocular globe rupture and vitreous and choroidal hemorrhage, orbital floor and medial wall blow-out fracture, nasal wall fracture, and inferior rectus muscle and orbital fat herniation within the fracture gap and caudally displaced medial rectus muscle.

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