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

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...

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Bibliographic Details
Published in:Clinical and experimental optometry 2007-11, Vol.90 (6), p.457-462
Main Authors: Turnbull, Philip RK, Vingrys, Algis J, Kalloniatis, Michael
Format: Article
Language:English
Subjects:
Adult
Athletic Injuries - complications
Athletic Injuries - diagnostic imaging
cranial nerve injuries
diplopia
Diplopia - etiology
Diplopia - physiopathology
eye injuries
Follow-Up Studies
Humans
Male
orbital fracture
Orbital Fractures - complications
Orbital Fractures - diagnostic imaging
Radiography
Time Factors
Vision, Binocular - physiology
Visual Acuity
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnostic imaging
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Summary: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.
ISSN:0816-4622
1444-0938
DOI:10.1111/j.1444-0938.2007.00179.x