Case study – Confirmed Orbital Floor Fracture by X Ray – What would you do?

This is a case of blunt force trauma while being assaulted. The patient presented to the emergency department with the following: Sight in both eyes with normal gross fields; normal pupillary function, normal IOP for age, diplopia in upgaze but not in primary, intact abduction and adduction; and after this photo taken, an intact retina 360 degrees each eye.

What would you recommend to the Emergency Department physician?

About Richard Hom OD, MPA

Dr. Hom holds Doctor of Optometry and Masters in Public Administration degrees and practices family eye care and consults on public policy, health information technology and program evaluation.
This entry was posted in Anterior Segment and tagged , , , , , , , , . Bookmark the permalink.

One Response to Case study – Confirmed Orbital Floor Fracture by X Ray – What would you do?

  1. Dr. Hom,
    You have aroused my curiosity, but there are NO responses. (This is totally outside of my expertise.)
    What would you suggest?
    Allan Hytowitz

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