Presentation
Headbutt to right eye at football. Now double vision.
Patient Data
Age: 15 years
Gender: Male
From the case:
Blow-out fracture right orbital floor
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Air-fluid level in the right maxillary antrum associated with a "tear drop" arising from the orbital floor consistent with prolapsed orbital content
From the case:
Blow-out fracture right orbital floor
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The arrow refers to the herniated orbital contents
Case Discussion
CT is the investigation of choice, but radiographs are still performed and can provide reasonable analysis. However, CT is still necessary if X-rays are abnormal to determine extent of the fracture, and whether there is just fat or inferior rectus trapped in the fracture.