Orbital medial wall blow-out fracture with remarkably entrapped medial rectus muscle and retrobulbar emphysema

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Facial trauma and limitation of movement of the left eye.

Patient Data

Age: 40 years
Gender: Male

There are left orbit medial wall blow-out fractures and remarkably entrapped medial rectus muscle, retrobulbar emphysema, left eye cornea tear, preseptal soft tissue swelling, and exodeviation of both eyes.

Case Discussion

Remarkably entrapped medial rectus muscle within the fracture gap can lead to muscles necrosis and retrobulbar emphysema can lead to compression on the optic nerve both can be ophthalmology emergencies and must be managed carefully.

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