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Case Reports
. 2023 Feb 21;15(2):e35268.
doi: 10.7759/cureus.35268. eCollection 2023 Feb.

Do Not Fall for This; Diagnostic Challenges in Orbital Floor Fractures With Extraocular Muscle Entrapment

Savannah Kumar  1 , Anna Artymowicz  2 , Joseph Muscente  3 , Roman Shinder  2 , David Mostafavi  3
Affiliations
Case Reports

Do Not Fall for This; Diagnostic Challenges in Orbital Floor Fractures With Extraocular Muscle Entrapment

Savannah Kumar et al. Cureus. .

Abstract

Extraocular muscles that are entrapped in orbital fracture sites require emergent surgical treatment. Muscle entrapment can present with subtle findings or mimic other conditions, contributing to delays in diagnosis. Here, we present two cases of extraocular muscle entrapment that were not immediately identified. By discussing the diagnostic challenge in these cases, we aim to increase the comfort of all physicians in identifying muscle entrapment in the emergency department.

Keywords: entrapment; extraocular muscles; oculocardiac reflex; ophthalmology; orbital fracture.

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Conflict of interest statement

The authors have declared financial relationships, which are detailed in the next section.

Figures

Figure 1
Figure 1. A coronal view of the non-contrast CT (soft tissue window) showing a right-sided orbital floor trapdoor fracture with associated orbital soft tissue entrapment in the fracture (red arrow).
Figure 2
Figure 2. A coronal view of the non-contrast CT (soft tissue window) showing a left-sided orbital floor trapdoor fracture and associated orbital soft tissue entrapment in the fracture (red arrow).
See this image and copyright information in PMC

References

    1. Characteristics of orbital floor fractures in the United States from 2006 to 2017. Iftikhar M, Canner JK, Hall L, Ahmad M, Srikumaran D, Woreta FA. Ophthalmology. 2021;128:463–470. - PubMed
    1. The Wills Eye Manual. office and emergency room diagnosis and treatment of eye disease. 2nd ed. Dayhaw-Barker P. Optom Vis Sci. 1994;71:723.
    1. Etiology of orbital fractures at a level I trauma center in a large metropolitan city. Chiang E, Saadat LV, Spitz JA, Bryar PJ, Chambers CB. Taiwan J Ophthalmol. 2016;6:26–31. - PMC - PubMed
    1. Epidemiology of orbital fractures in a large hospital in the Netherlands: results of implementation of a multidisciplinary orbital trauma team. Kooger TJA, Joosse MV, van Minderhout EM, Hergaarden K, Khouw Y-L. Open J Ophthalmol. 2021;15:122–129.
    1. An analysis of 733 surgically treated blowout fractures. Chi MJ, Ku M, Shin KH, Baek S. Ophthalmologica. 2010;224:167–175. - PubMed

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