Isolated Medial Orbital Wall Fracture Associated with Enophthalmos in a Paediatric Patient: An Unusual Presentation

Overview

Journal Case Rep Ophthalmol

Specialty Ophthalmology

Date 2018 Apr 13

PMID 29643794

Citations 1

Authors

Panagiotis Giannakouras

Georgios Pollalis

Efthymia Tsina

Affiliations

Soon will be listed here.

Abstract

Purpose: To report a case of isolated medial orbital wall fracture with enophthalmos in a paediatric patient and describe the clinical presentation and findings by means of computed tomography (CT) of the head and eyes.

Methods: We looked at the patient's medical and ophthalmologic history, and an ophthalmologic examination and a CT of the head were performed at baseline.

Results: A 14-year-old boy was admitted to the emergency department of our institution with ecchymosis of his right eyelids secondary to a sport accident. Physical examination revealed a moderate limitation of upgaze without diplopia. CT showed a medial orbital wall fracture without haemorrhage and a gross accumulation of air in the right eyelid with pressure exertion over the right globe and enophthalmos. The patient was treated conservatively with oral antibiotics and steroids showing dramatic improvement within 1 week. Enophthalmos and periorbital emphysema were completely resolved within 3 months after the accident as indicated by CT.

Conclusions: We conclude that surgical intervention and intravenous treatment are not warranted in similar cases of medial orbital wall fracture. Medical history, clinical and paraclinical evaluations, and a regular follow-up, including CT, are needed though to avoid complications such as painful abduction, horizontal diplopia, pseudo sixth nerve paresis, or pseudo Duane.

Citing Articles

Isolated Medial Orbital Wall Fracture Correction with Revision of Levator Plication - A Case Report.

Balaji S, Balaji P Ann Maxillofac Surg. 2022; 11(2):356-358.

PMID: 35265516 PMC: 8848707. DOI: 10.4103/ams.ams_221_21.

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