EC Ophthalmology

Case Description

A 27‑year‑old male presented with downward displacement of the left globe and severe enophthalmous. He had a history of severe blunt trauma to the head during a traffic-road accident the previous weeks. Due to intracranial hemorrhage with increased intracranial pressure signs, craniotomy surgery was performed for him. The left globe was displaced downwardly, with restriction of all extraocular muscles' movements (Figure 1). Examination of the right eye was unremarkable. Orbital computed tomography scans showed large left inferior orbital wall fracture with downward displacement of the left globe to the adjacent maxillary sinus, and the globe was intact (Figure 2). At first, he was treated with oral prednisolone 50 mg/day tapered gradually to decrease intraorbital soft tissues' edema. Then, he was referred to oculoplastic and maxillofacial surgeons for further interventions including orbital floor fracture reconstruction and globe repositioning.

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