European Journal of Molecular & Clinical Medicine

Abstract

Trauma can result in fracture of one or more wall of the orbit, floor being most common
affected, followed by combined floor and medial wall fracture, followed by combined floor
and lateral wall fracture, combination floor, lateral wall and medial wall together, isolated
lateral wall and isolated medial wall in decreasing frequency. Pupils were checked for both
direct and indirect light reflex and swinging flash light test was done to rule out any relative
afferent pupillary defect. Slit lamp biomicroscopy and indirect ophthalmoscopy was done to
rule out involvement of Posterior segment. Inspection palpation and auscultation of the orbit
and orbital margins were done Hertelsexophthalmometer was done to check Enophthalmos
and exophthalmos. Extra ocular movements were examined in all nine gazes both ductions
and versions. Forced duction test was done in case of restricted ocular movement. Our study
had 8 patients with diplopia. Out of which 3(37.5%) had floor fracture, 4(37.5%) had
combined medial, lateral and floor, 4(37.5%) had combined medial and lateral and 1(12.5%)
medial wall fracture.