Purpose: To report a case of isolated medial orbital wall fracture with enophthalmos in a paediatric patient and describe the clinical presentation and findings by means of computed tomography (CT) of the head and eyes. Methods: We looked at the patient's medical and ophthalmologic history, and an ophthalmologic examination and a CT of the head were performed at baseline. Results: A 14-year-old boy was admitted to the emergency department of our institution with ecchymosis of his right eyelids secondary to a sport accident. Physical examination revealed a moderate limitation of upgaze without diplopia. CT showed a medial orbital wall fracture without haemorrhage and a gross accumulation of air in the right eyelid with pressure exertion over the right globe and enophthalmos. The patient was treated conservatively with oral antibiotics and steroids showing dramatic improvement within 1 week. Enophthalmos and periorbital emphysema were completely resolved within 3 months after the accident as indicated by CT. Conclusions: We conclude that surgical intervention and intravenous treatment are not warranted in similar cases of medial orbital wall fracture. Medical history, clinical and paraclinical evaluations, and a regular follow-up, including CT, are needed though to avoid complications such as painful abduction, horizontal diplopia, pseudo sixth nerve paresis, or pseudo Duane.
Case Rep Ophthalmol 2018;9:126–131
http://ift.tt/2H0R08A
Αρχειοθήκη ιστολογίου
-
►
2020
(289)
- ► Φεβρουαρίου (28)
-
►
2019
(9071)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3642)
- ► Ιανουαρίου (3200)
-
▼
2018
(39872)
- ► Δεκεμβρίου (3318)
- ► Σεπτεμβρίου (3683)
-
▼
Φεβρουαρίου
(2693)
-
▼
Φεβ 08
(148)
- Unilateral telangiectasia macularis eruptiva perst...
- Pruritic arthropod bite-like papules in T-cell lar...
- Involvement of spinal cannabinoid receptors in the...
- A 27-Year-Old Woman With Facial Rash: USMLE Question
- Erythema elevatum diutinum-like vasculitis seconda...
- Asymptomatic hyperkeratotic plaque on the vulva of...
- Alternative activation of hedgehog pathway induced...
- ONDAM, T2A, PMSI, SROS, MIGAC, MERRI, SIGAPS & IF ...
- Contrôle des vertiges dans la maladie de Menière p...
- Intérêt de la mesure du débit inspiratoire de poin...
- Évaluation de l’impact médico-économique de la chi...
- Editorial Board
- Atteintes otologiques du syndrome de Turner
- Rhinophyma : notre expérience à propos de 12 cas
- Les revues « prédatrices » à l’assaut de la presse...
- Symptômes de rhinite allergique à Parakou, Bénin :...
- Évaluation du retentissement de la surdité chez l’...
- Dysfonctionnement nasal chronique
- Stimulation magnétique transcrânienne et acouphène...
- Syndrome de Kindler compliqué d’un carcinome épide...
- Liposarcome bien différencié pédiculé de l’hypopha...
- Modification du lambeau libre fascio-cutané antébr...
- Oropharyngectomie par voie cervico-transorale assi...
- Une masse linguale
- Une colonisation du cornet moyen
- Abcès avec ostéomyélite du clivus après adénoïdect...
- Rhinorrhée unilatérale : une étiologie atypique
- Systemic allergic contact dermatitis associated wi...
- A retrospective case series of referrals to our ps...
- Die endonasale endoskopische Resektion von Choanal...
- Origins of antidromic activity in sensory afferent...
- Chitotriosidase inhibits allergic asthmatic airway...
- Alterations of Global DNA Methylation and DNA Meth...
- Preparation, Purification, and Identification of a...
- Onabotulinum Toxin A in Adductor Spasmodic Dysphon...
- Medical Student Knowledge of Human Papillomavirus–...
- The 'Ugly Duckling' Rule in Melanoma Self-exam
- Hepatotoxicity Associated With Vismodegib
- Intracaval misplacement of a double-J ureteral stent
- Double invasive fungal infection due to dematiaceo...
- Pathological fracture of femoral neck in a middle-...
- Autoimmune fasciitis triggered by the anti-program...
- Follicular dendritic cell sarcoma of the porta hep...
- 21st century obstetrics: a 50-year-old nullip--wal...
- Emphysematous gastritis secondary to Sarcina ventr...
- Giant granadillas seeds phytobezoar rectal impacta...
- Successful management of benign paroxysmal positio...
- Ventricular tachyarrhythmia in a 78-year-old woman...
- Tinea of vellus hair: a diagnostic and therapeutic...
- Successful treatment of non-tuberculous mycobacter...
- Reversible bioprosthetic valve thrombosis from eos...
- Acute haemorrhage from a retroperitoneal liposarco...
- Down syndrome with posterior cortical atrophy
- Nasopharyngeal angiofibroma in a 32-year-old man
- Melioidosis: the great mimicker presenting as spon...
- Bleeding or clotting: an intracranial dilemma
- Isolated splenic mucormycosis in a case of aplasti...
- Pretreatment neutrophil-to-lymphocyte ratio is ass...
- Ocular Injury due to Potassium Permanganate Granules
- Isolated Medial Orbital Wall Fracture Associated w...
- Evaluation of the success of obstructive sleep apn...
- Swallowing evaluation after surgery for obstructiv...
- Issue Information
- Differentiating Simple Hepatic Cysts from Mucinous...
- Speech, stone tool-making and the evolution of lan...
- Matrix Single Stage Distributed Amplifier Design f...
- R.S. Thomas's Poetics of Insomnia
- Regulating Offense, Nurturing Offense
- Multiple Levels of Control Determine How E4bp4/Nfi...
- On coercivity of boundary integral functionals in ...
- The algal chloroplast as a synthetic biology platf...
- Manufactured Exoticism and Retelling The Story of ...
- Indirect epistemic reasons and religious belief
- Fine table linen in England, 1450-1750: The supply...
- Temporal trends of transmitted HIV drug resistance...
- Climate change, cooperation and moral bioenhancement
- Permissivism and the Arbitrariness Objection
- Short courses of daily prednisolone during upper r...
- Effective Principals Serving in High Poverty Schoo...
- NODAL/Activin signalling to chromatin: mechanisms ...
- Defining 'Speech': Subtraction, Addition, and Divi...
- Economic structure and energy savings from energy ...
- Disciplining and Governing Headteachers? Exploring...
- Early laser intervention to reduce scar formation:...
- Predatory conferences: Caveat emptor!
- Granulomatous Tattoo reaction with Associated Uvei...
- Normoglycemic glucagonoma syndrome associated with...
- Once weekly targeted excimer light produced modest...
- The regular use of an emollient improves symptoms ...
- Variation in the diagnosis and clinical management...
- Autosomal recessive hyper-IgE syndrome in two brot...
- Skin manifestations in patients with hcv–related c...
- Cytokeratin 19 expression is a risk factor for met...
- Case 4-2018: A Newborn with Thrombocytopenia, Cata...
- Radiotherapy With Double Checkpoint Blockade of Lo...
- Burkitt’s lymphoma with placental invasion diagnos...
- Relationship between swallowing-related quality of...
- Lights, Camera, Action! New Endomicroscopic Probes...
- IMPACT OF TACROLIMUS INTRA-PATIENT VARIABILITY ON ...
- Transformations of Scylla and Charybdis: Encounter...
-
▼
Φεβ 08
(148)
- ► Ιανουαρίου (3198)
-
►
2017
(41099)
- ► Δεκεμβρίου (3127)
- ► Σεπτεμβρίου (2173)
-
►
2016
(13807)
- ► Δεκεμβρίου (700)
- ► Σεπτεμβρίου (600)
- ► Φεβρουαρίου (1350)
- ► Ιανουαρίου (1400)
-
►
2015
(1500)
- ► Δεκεμβρίου (1450)
Ετικέτες
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου