Ophtho On Call Case 10: Case Continued…

Ophtho On Call Case 10 Index

Answer:   CT head w/o contrast is the imaging modality of choice. Thin cut coronal sections (1 mm) should be performed for any patient who presents with periorbital trauma.

The patient’s CT head is shown below: 

Screen Shot 2022-07-05 at 8.27.42 PM

Above Image Courtesy of Kyle Hirabayashi, MD

 

CT orbits:

What complications do you want to monitor closely for? Pick 1 before moving on.
Extraocular muscle entrapment
Diplopia
 
Enophthalmos
Proptosis
Sympathetic ophthalmia
 

 

Numbness of the lower left eyelid and upper left cheek in our patient case raises concern for involvement of what structure?
Superior orbital neurovascular bundle
Inferior orbital neurovascular bundle 
 
CN II
CN VIII

 

What systemic findings in our patient may suggest entrapment of the inferior rectus? 
Bradycardia
Nausea/vomitting
 
Hyperthermia
Proptosis

Click here to move on!

Ophtho On Call Case 10 Index
Ophtho On Call Case 10: Introduction
Ophtho On Call Case 10: Physical Exam