Stephen J. Schueler, M.D.

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Blowout Fracture of the Orbit Evaluation

An evaluation of a blowout fracture of the orbit begins with a history and physical examination. A complete eye examination is necessary to look for other injuries to the eye.

Physical findings in someone with a blowout fracture of the orbit may include:

  • Entrapment of the eye muscles:
    • Inability to gaze upward with the eye
  • Sponginess to the soft tissues overlying the cheekbone
  • Subconjunctival hemorrhage (blood in the white sclera of the eye)
  • Swelling around the eye
  • Bruising around the eye
  • Tenderness of the orbital bones

Physical findings of a severe blowout fracture of the orbit may include:

The diagnosis may be made on physical findings alone, if entrapment of the eye muscles is present. Imaging tests are necessary to evaluate the severity of the fracture.

Tests that may be used to evaluate a blowout fracture of the orbit include:

Continue to Blowout Fracture of the Orbit Treatment

Last Updated: Dec 2, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Blowout Fracture of the Orbit References
  1. Ikeda K, Suzuki H, Oshima T, Takasaka T. Endoscopic endonasal repair of orbital floor fracture. Arch Otolaryngol Head Neck Surg. 1999 Jan;125(1):59-63. [9932589]
  2. Klenk G, Kovacs A. Blow-out fracture of the orbital floor in early childhood. J Craniofac Surg. 2003 Sep;14(5):666-71. Review. [14501326]
  3. Otori N, Haruna S, Moriyama H. Endoscopic endonasal or transmaxillary repair of orbital floor fracture: a study of 88 patients treated in our department. Acta Otolaryngol. 2003 Aug;123(6):718-23. [12953771]
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