Blow out orbital fracture occurs after a blow to orbit by blow by a closed fist of a cricket ball, tennis ball, RTA as a medial wall of the orbit is the weakest part of the orbit. So, the BOOF occurs 1 to 3 mm medial to the post part of infraorbital groove presentation of the patient dimension of vision narrowing of palpebral fissure anophthalmias suprasternal retraction.
Diplopia and upward and downward gaze limitation of movements in upward and downward gaze dullness of sensation in the infraorbital region due to an involvement of infraorbital nerve sphincter rupture hyphemia. The management of BOOF is teamwork of ophthalmologists, ENT specialists and plastic surgeons.