From the case:
Raccoon eyes (photo)
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Bilateral bruising of the eyelids is referred to as raccoon eyes.
Case Discussion
Raccoon eyes in a patient with base of skull fractures, particularly involving the anterior cranial fossa. Usually, the tarsal plate limits the extension of blood into the margins of the eyelids, unless the orbital septum is disrupted (as in this case).
Photo courtesy of Dr Frances Williamson FACEM.
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