PMC10235752_01
(a and b) Shows preoperative pictures showing restriction of upward and downward movement respectively. (c and d) Depicts the post-operative pictures
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The ophthalmologist detected the restriction of right eye movement with diplopia in upward and downward gaze [Figure 1a and b]. The visual acuity was restored by the end of 3 weeks postoperatively [Figure 1c and d].
(a) CT-axial view with hanging drop appearance, (b) The harvested iliac crest graft, (c) Fixation of the autologous graft to orbital floor
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The patient was referred to our institution where she underwent CT evaluation of the orbit, which revealed right orbital floor fracture of size 2 mm with herniation of orbital fat and elongation of right inferior rectus muscle suggestive of its entrapment [Figure 2a]. Corticocancellous graft was harvested from the right iliac crest [Figure 2b], recontoured, and placed over the right orbital floor which was stabilized over the infraorbital rim with two titanium screws [Figure 2c].