Presentation
Got hit in the eye by a wood plank.
Patient Data
Age: 40 years
Gender: Male
From the case:
Orbital medial wall and floor blowout fracture
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No evidence of intracranial bleed (brain window not shown).
Case Discussion
The medial orbital wall and the orbital floor are weaker than the upper and lateral walls, and are therefore more prone to fracture when the orbit is dealt a substantial blow.
In this case, there is entrapment of the inferior rectus muscle and retrobulbar fat between collapsed bone fragments of the orbital floor.
Entrapment of an extraocular muscle and/or retrobulbar fat can result in diplopia and even an oculocardiac reflex (i.e. bradycardia, nausea, and vomiting), warranting prompt surgery 1.
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