Orbital roof fractures are frequently associated with high energy impact to the craniofacial region. Displaced orbital roof fractures can cause ophthalmic and neurological complications, occasionally requiring open surgical intervention. Orbital roof fractures are more common in males due to automobile accidents. Early diagnosis of this condition and prompt intervention are critical in the management because any delay can cause loss of vision secondary to optic nerve involvement.
Urgent ophthalmic evaluation is important to know visual acuity and assess for optic nerve injury or edema, retrobulbar haemorrhage, retinal detachment, and intraorbital emphysema. Computed tomography with reconstructed images is the investigation of choice. We report a rare case of isolated right orbital roof fracture. The fracture was an isolated blow-in fracture with the fractured segment impinging on the…
