Karthik Kattur Premkumar¹,
Balamurugan Rajendran²



 

The basis of the problem: Craniomaxillofacialtrauma in pediatric group is less common with an incidence rate of 15% and the most commonly involved site is the fracture of orbital floor.Blow out fractures can either be pure or impure with trauma being the most predominant etiology.
Method: Our case report present a 15 year old patient with a diagnosis of white eye blowoutfracture reported ten days post trauma. The case was surgicallydealt by releasing the entrapped inferior rectus muscle and placement of titanium mesh in the orbital floor with a postoperative follow up period of 6 months.
Results: In the present report, although the eye movements i were evidentwithout any restriction, the authors were unable to achieve a full range of eye movements due to delayed surgical intervention.
Conclusion: Inferior rectus muscle entrapment is the most common entity encountered in cases of white eye blow out fractures, due to its close proximity with the orbital floor and lack of periodontal fat. Early diagnosis and immediate surgical intervention would bring about a best positive outcome in the management of white eye blow out fractures.
 

Key words: pediatric trauma,diplopia,white eye blowout,pure orbital floor fracture,delayed intervention

Address of correspondence:
Dr. Balamurugan Rajendran MDS (OMFS), FICOI (USA)
Oral and Maxillofacial Surgeon and Oral Implantologist
RYA COSMO Foundation Hospital
380 Konnur High Road, Otteri, India, Tamilnadu- 600012
E-mail: drbalamurugan.mdsomfs@gmail.com

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