Orbital floor blow-out fracture and ocular globe rupture

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Facial trauma, right orbital pain, and suddenly decreased visual acuity of the right eye.

Patient Data

Age: 30 years
Gender: Female

The right eye complete rupture with vitreous hemorrhage and herniation of the ruptured eye and orbital fat within the orbital floor blow-out fracture gap are seen. A hemorrhage in the right maxillary sinus is seen. Swelling of the right side inferior oblique muscle and nasally displaced inferior rectus muscle are seen.

Case Discussion

The case illustrates the non-contrast MDCT features of ocular globe rupture and the herniation of the ruptured eye within the orbital floor blow-out fracture gap which is a rare occurrence.

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