PMC2709037_01
Computed tomographic images showing blow-out fracture of the lower right orbital wall. Left: Coronal section showing that the right eyeball is not perforated but has shifted downward into the maxillary sinus through the fracture of the lower orbital wall. right: Axial section showing that her right eyeball was displaced.
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Computed tomography demonstrated that her right eye was not perforated but had shifted down into the maxillary sinus through a blow-out fracture of the lower orbital wall (Figure 1).
Postoperative computed tomographic image and fundus photograph. Left: Postoperative computed tomographic image of axial section. Blow-out fracture has been corrected and the eyeball is returned to the proper position. right: Fundus photograph of right eye showing a cherry-red spot, milky-white lesion on macula, and mild venous dilation.
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Surgery was immediately performed, and the blow-out fracture was repaired with replacement of the eyeball to its proper position (Figure 2, Left). Her vision slowly recovered to light perception, and on the fourth postoperative day, the right fundus could be seen and showed a cherry-red spot and milky-white edema (Figure 2, Right).
Optical coherence tomographic image and fundus photograph one month after the accident. Left: Fundus photograph of right eye showing optic atrophy. right: Axial slice (upper) and retinal thickness analysis (lower) of optical coherence tomographic image.
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One month later, the optic disc appeared pale and atrophic, and optical coherence tomography demonstrated that the extrafoveal region of macula was thinner than normal (Figure 3).