CASE REPORT - White-eyed blowout fracture, child in danger: A case report
https://doi.org/10.51866/cr1150
- Author:
Wan-Hazabbah Wan Hitam
1
;
Abdul-Hadi Rosli
2
,
3
;
Mohd-Hudzaifah Nordin
3
,
4
;
Zunaina Embong
5
Author Information
1. M.D (USM), M.Surg (Ophthal)(UKM) FADUSM Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia
2. MD (UKM), MMED (Ophthal) (USM) Department of Ophthalmology Kulliyyah of Medicine, International Islamic University Malaysia, Bandar Indera Mahkota, Kuantan, Pahang Malaysial
3. Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia
4. MD (USIM) Faculty of Medicine, Universiti Sultan Zainal Abidin, Terengganu, Malaysia
5. MD (UKM), MMed (Ophthal)(USM) FADUSM, AM(Malaysia) Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia
- Publication Type:Journal Article
- Keywords:
White-eyed blowout fracture;
diplopia;
ocular motility restriction;
tissue entrapment
- MeSH:
Diplopia
- From:Malaysian Family Physician
2022;17(1):78-81
- CountryMalaysia
- Language:English
-
Abstract:
A white-eyed blowout fracture is an orbital floor fracture associated with restriction of ocular motility (suggestive of orbital content entrapment) but with minimal or absence of signs of soft tissue trauma. It can lead to significant patient morbidity. This case involved an 8-year-old boy with a white-eyed blowout fracture following facial trauma. He presented with binocular diplopia and a history of recurrent episodes of vomiting after the trauma and was referred to our centre for a suspected head injury. Visual acuity in both eyes was 6/9. Examination showed minimal left periorbital haematoma with left eye motility restriction on superior and medial gaze associated with pain. CT scan of the orbit showed left orbital floor fracture with minimal soft tissue entrapment. He underwent urgent open exploration of the left orbit and release of orbital tissue entrapment. Post-operatively, the left eye motility restriction improved significantly with resolution of diplopia. In conclusion, a high index of suspicion is crucial in diagnosing paediatric white-eyed blowout fractures due to lack of external ocular signs.
- Full text:2025081810045108826v17n1-Cr-White-eyed-blowout-fracture.pdf
