Presentation
Remarkable left side eyelids swelling and limitation of left eye movement with the history of facial trauma.
Patient Data
There is a remarkably displaced blow-out fracture of the left orbital medial wall with entrapment of orbital fat and medial rectus muscle within fracture defect and remarkable eyelids emphysema and soft tissue swelling and also postseptal superonasal orbital emphysema.
Case Discussion
The case is of a patient with facial trauma and remarkable left eyelid swelling and limitation of motion of the left eye.
The findings from the non-contrast orbital and paranasal sinuses MDCT requested were:
- remarkable left eye emphysema
- blow-out fracture in left orbit medial wall
- entrapment of medial rectus muscle and orbital fat within the fracture defect
The best imaging modality for detection and evaluation of orbital blow-out fractures and corresponding complications is an orbital MDCT.
As orbital medial wall blow-out fracture can cause canalicular lacerations, they should be evaluated further, with facial deformity or functional disorders such as eye movement problems treated surgically based on the orbital MDCT findings.
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