Defined as an orbital floor fracture without orbital rim involvement
Results from sudden blunt trauma to the globe:
Typically caused by the force of a projectile > half the size of ...
Periorbital tenderness, swelling, and ecchymosis
Impaired ocular mobility or diplopia:
Restricted upward gaze owing to inferior rectus entrapment
Restricted ipsilateral latera...
Metal protective eye shield if possible globe injury
Place in supine position.
Assess for associated intracran...
85% resolve without surgical intervention.
Consultation with facial trauma service in ED and consideration for admission if:
50% of floor fractured
Be hypervigilant in checking pupillary response and visual acuity:
Abnormal results may be the 1st sign of serious complications:
Optic nerve injury possibly stemming fr...
Alinasab B, Ryott M, Stjärne P. Still no reliable consensus in management of blow-out fracture. Injury. 2012;45:197–202.
Cruz AA, Eichenberger GC. Epidemiology and managem...
376.52 Enophthalmos due to trauma or surgery
802.6 Closed fracture of orbital floor (blow-out)
802.7 Open fracture of orbital floor (blow-out)
H05.429 Enophthalmos due to trauma or surgery...
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