Presentation
Assault with periorbital bruising and blurred vision.
Patient Data
Age: 30 years
Gender: Male
From the case:
Medial orbital blow-out fracture
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Fracture of the right lamina papyracea with herniation of orbital fat into the ethmoid air cell and orbital emphysema.
No entrapment of the medial rectus muscle.
Case Discussion
Blow-out fractures involving the medial orbital wall (lamina papyracea) are less common than inferior blow-out fractures. The medial rectus is at risk of entrapment in this type of blow-out fracture; however, in this case, it was spared.