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Updated: Apr 25, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
957
Temporal posttraumatic limited ocular movement with suspected trapdoor fracture
Young-Seok Song1, Harumasa Yokota1, Haruna Ito1
1Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Clinical Ophthalmology (Auckland, N.Z.)
|August 30, 2014
Summary
Trapdoor fractures can cause double vision due to muscle entrapment. This case shows spontaneous resolution of diplopia, suggesting observation may be suitable when emergent conditions are ruled out.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Trapdoor fractures, a type of orbital floor fracture, involve muscle entrapment and can lead to ischemia and necrosis.
- Immediate surgery is typically recommended for symptomatic persistent diplopia or clinical evidence of entrapment.
Observation:
- A 15-year-old female presented with diplopia after ocular trauma.
- Initial CT scans were negative for fracture, but a positive forced duction test suggested entrapment.
- MRI ruled out extraocular muscle edema or inflammation.
Findings:
- The patient experienced spontaneous resolution of diplopia within two weeks.
- A repeat forced duction test became negative, confirming the resolution of entrapment.
Implications:
- Observation may be a viable management option for suspected trapdoor fractures with limited ocular movement.
- This approach is appropriate when imaging excludes emergent conditions requiring immediate surgical intervention.
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