Monocular blindness secondary to a non-displaced malar fracture

We report a case of monocular blindness subsequent to a non-displaced malar fracture. Injury to the optic nerve, secondary to orbital apex syndrome, was implicated as the cause of blindness. Although most non-displaced malar fractures require no surgical intervention and resolve quite uneventfully, they can be associated with significant morbidity. Patients diagnosed as having non-displaced malar fractures should be followed on admission by careful observation and ophthalmologic consultation.