Blow-out fracture of the orbit and retrobulbar hemorrhage

Case contributed by Dr Shervin Sharifkashani

Presentation

Facial trauma and consequent right orbital pain, limitation of abduction of the right eye, eyelids soft tissue swelling, and decreased visual acuity.

Patient Data

Age: 20 years
Gender: Male

Right orbital floor nasal side and related medial wall blow-out fracture with inferior rectus muscle and medial rectus muscle and orbital fat herniation within the fracture gaps, preseptal, and lacrimal gland soft tissue swelling, perineural and retrobulbar hemorrhage, and hemorrhage in ethmoid sinus are seen.

Case Discussion

The case illustrates the non-contrast MDCT features of the concomitance of retrobulbar hemorrhage and orbital blow-out fracture that is relatively uncommon. Retrobulbar hemorrhage is an ophthalmology emergency and must be meticulously managed and followed up.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.