Presentation
A blow to the right orbital cavity and progressive eyelid swelling and limitation of motion of the right eye.
Patient Data
Blowout fracture in the right orbital medial wall and nasal side floor with pronounced inferonasal orbital fat entrapment and partially entrapped medial rectus muscle. Large emphysema in eyelids and a few foci of air bubbles in the postseptal orbital cavity are noted. Hemorrhage in the right maxillary and ethmoid sinus and a large retention cyst of the maxillary sinus on the left side is seen.
Case Discussion
The case illustrates orbital medial wall and floor blowout fracture with inferonasal orbital fat entrapment which can lead to enophthalmos and is one of the major debilitating complications that also affects the prognosis of the fracture.