White-Eyed Blowout Fracture
Cheruvathur Prasad1, M Arulmozhi1, J Balaji1
1Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Chennai, Tamil Nadu, India.
Annals of Maxillofacial Surgery
|August 29, 2020
Summary
White-eyed orbital blowout fractures in children are hard to diagnose due to subtle signs. This case highlights the challenge of identifying these injuries, even with minimal soft-tissue evidence.
Area of Science:
- Ophthalmology
- Pediatric Traumatology
- Facial Plastic Surgery
Background:
- Orbital floor blowout fractures are common in pediatric patients.
- White-eyed orbital blowout fractures present unique diagnostic challenges compared to typical fractures.
- Minimal soft-tissue signs often complicate the diagnosis of these injuries.
Observation:
- A 7-year-old child presented with a suspected white-eyed orbital blowout fracture.
- The initial clinical presentation showed negligible soft-tissue manifestation.
- This led to a delay in the definitive diagnosis of the orbital fracture.
Findings:
- White-eyed orbital blowout fractures can occur in pediatric patients.
- The absence of significant swelling or bruising can mask the fracture.
- Early diagnosis is crucial for appropriate management and preventing complications.
Implications:
- Increased awareness is needed among clinicians for diagnosing white-eyed orbital blowout fractures in children.
- Advanced imaging may be required when clinical signs are equivocal.
- Prompt diagnosis and treatment are essential for optimal outcomes in pediatric orbital trauma.
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