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Abnormal Pupil Finding After an Orbital Floor Fracture in a Child
Jing Jing Feng1, David A Della Rocca, Sylvia R Kodsi
1*Northwell Health Department of Ophthalmology, Hofstra Northwell School of Medicine, Great Neck, and †New York Eye and Ear Infirmary, Mineola, New York, U.S.A.
Purpose:
Trauma to the pupillary fibers can occur during repair of orbital floor fracture resulting in a fixed and dilated pupil. The authors report, discuss, and propose an etiology of an abnormal pupil in a child with an orbital floor fracture before surgical repair.
Methods:
A case report is described.
Results:
Although the orbital fracture was repaired, anisocoria persisted 18 months after the initial trauma.
Conclusions:
Pupillary function must be assessed before surgical repair of an orbital floor fracture as damage of the pupillary fibers can occur secondary to the orbital floor fracture.
