Orbital Floor Fracture Cant Look Up

This can occur as a result of nerve damage due to the fracture.

Orbital floor fracture cant look up. The comparatively thin bone of the floor of the orbit. There is numbness in the eyelids forehead cheek upper lip or teeth and on the side of the eye injury. If any suspicion for fracture is present it s appropriate to order a ct scan to determine if orbital trauma exists. Occasionally patients may have diplopia in primary gaze and even in horizontal gaze but these presentations are much less common.

Patients with an orbital floor fracture may present with a tropia in upgaze and or downgaze with the affected side demonstrating limitation of full movement. A crack in the very thin bone that makes up these walls can pinch muscles and other structures around the eye keeping the eyeball from moving properly. This is reflected in the demographics. Most commonly the inferior orbital wall i e.

The fragility of the orbital floor is eloquently considered in a chapter from ophthalmic care of the combat casualty coauthored by dr. Getting hit with a baseball or a fist often causes a blowout fracture. About 85 of traumatic eye injuries including eye socket fractures happen by accident during contact sports at work in car crashes or while doing home repair projects. It is more prevalent in young men.

Orbital fractures can be obvious but frequently are subtle and can therefore present a diagnostic challenge. Orbital fracture causes difficulty in eye movements such as looking up down right or left. An orbital blowout fracture is a traumatic deformity of the orbital floor or medial wall typically resulting from impact of a blunt object larger than the orbital aperture or eye socket. A blowout fracture is a break in the floor or inner wall of the orbit or eye socket.

The poor fragile floor. Orbital floor fracture with significant soft tissue entrapment a so called trapdoor fracture. Direct orbital floor fracture if an orbital rim fracture extends into nearby parts of the eye socket floor both the rim and the socket floor are fractured. This patient had a significant vertical ocular motility disturbance.

Orbital fractures are a common presentation to ophthalmologists who treat blunt trauma and fractures of the floor are the most common of all. The floor is likely to collapse because the bones of the roof and lateral walls are robust. Orbital blowout fractures are usually the result of a direct blow to the orbit which causes a sudden increase in intraorbital pressure. The orbital floor and medial.

The blowout fracture is the most common type of orbital fracture and is usually the result of trauma.