Short‐ and long‐term vertical diplopia secondary to blunt trauma

Abstract

This report describes the short-and long-term ocular signs and symptoms of a patient with an orbital blow-out fracture and discusses the differential diagnosis of vertical diplopia. A blow-out fracture occurs when blunt trauma is applied either directly to the eyeball itself or the orbital rim and usually results in a fracture of the orbital floor with consequential excavation and entrapment of orbital contents in the fracture. Vertical diplopia is a common presenting symptom for a blow-out fracture of the orbit but careful considerations should be given to other potential conditions leading to such diplopia. A patient is presented who suffered a blow-out fracture almost a decade earlier, secondary to blunt trauma to the globe. The clinical findings are provided immediately after the trauma, post-surgery and during a recent ocular examination.Short-and long-term vertical diplopia secondary to blunt trauma

Permanent Ocular Injury Following Paintball Pellet Hit: A Medicolegal Case

“…By contrast, larger projectiles usually lead to milder intraocular damage because the orbital rim dampens their energies . Alternatively, such projectiles can result in devastating damages of the surrounding structures of the globe including bone fractures and occasionally affecting the extraocular muscle functions . Paintball pellets usually exert no exit wound because they are inherently designed to rupture on impact and freed their energies at the site of impact .…”

Diplopia and ocular motility in orbital blow-out fractures: 10-year retrospective study

“…General consensus suggests that surgical intervention is indicated in cases of persistent diplopia, enophthalmos, or large defects, which may result in late enophthalmos (Turnbull et al, 2007). However, the criteria for diplopia, as an indication for surgery, as described in the literature is predominantly subjective, for example; 'persistent troublesome diplopia', 'severe', or 'visually handicapping diplopia.'…”