PMC6366632_01
Intraoperative Examination and Head and Face CT. a) Perioperatively, an 8-mm vertical full-thickness scleral laceration with uveal prolapse was observed in superonasal aspect of right eye. b) Face CT (coronal view) showed closed right zygomaticomaxillary complex fracture with 8-mm inferior displacement of the orbital floor (arrowhead) and minimal displacement of the lateral orbital wall. Complete opacification of the right maxillary sinus (*) but no herniation of the right inferior rectus muscle was demonstrated. c) Face CT (axial view) showed significant right orbital proptosis with asymmetric right global enlargement and extraconal hematoma. Biconvex internal hyperattenuation within the vitreous was noted (*), suggesting possible retinal detachment.
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Examination in the right eye was also remarkable for severely restricted extraocular movements, 360 degrees of subconjunctival hemorrhage, and hyphema obscuring the pupil (Figure 1a). Face computerized tomography (CT) scan revealed a closed right zygomaticomaxillary complex fracture (Figure 1b-1c). The patient was urgently taken to the operating room for exploration and surgical repair of her ruptured globe under general anesthesia (Figure 1a).