Case #43 Blow-out Fracture


History

A 34 year old man presents with complaints of diplopia, numbness of the left cheek and left globe ptosis.

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Question #1

What is the most likely etiology for this patient’s complaint?

Question #2

What is the mechanism of action for this problem?

Question #3

What diagnostic test would you order?

Question #4

Why is a complete eye examination warranted?

Question #5

What symptoms or signs would influence you to recommend surgical therapy versus non-surgical therapy?

Question #6

What bony walls of the orbits are most commonly affected with this injury?

Reference

McCord C: Oculoplastic Surgery, 2nd Edition, Raven Press. 1987.

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last updated: 10/10/2011