Orbital fractures:

• Blow-out:  direct trauma on ocular bulb with trauma transmission on medial wall (50% of cases) and floor of the orbit (25%).

• Blow-in:  indirect trauma on frontal or temporo-frontal bone. Traumatic energy is transmitted to the orbital roof or lateral wall.

Clinical examination:

• usually very complex

• enophthalmos

• ocular motility disorders

• ocular haemorrhage and swelling

• nosebleed

This patient was immediately admitted to the OR.