DOUBLE VISION: A SYMPTOM OF AN OVERLOOKED ORBITAL WALL FRACTURE .
Jeyasakthy SANIASIAYA1, Baharudin ABDULLAH1, Arman Zaharil MAT SAAD2
1Department of Otorhinolaryngology-Head & Neck Surgery and 2Department of Plastic and Reconstructive Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
Double vision or diplopia following trauma is almost always related to orbital wall fracture particularly orbital floor fracture. Albeit other possibilities leading to diplopia including, orbital haemorrhage, muscular oedema or haemorrhage, cranial nerve palsy or entrapment of muscle or soft tissue, orbital floor fracture ought to be ruled out primarily. Orbital floor fracture should be suspected more so when diplopia is accompanied with enophthalmos and hypoglobus. Clinical examination and radiographic examination are normally sufficient in diagnosing this entity. Herein, we report an overlooked orbital floor fracture and its management in a young girl who presented to the emergency department post trauma complaining of multiple facial laceration with double vision.
Keywords: Diplopia, enopthalmos, orbital fractures, traffic accidents.
Correspondence author: Jeyasakthy Saniasiaya, MD. Medical Officer, Department of Otorhinolaryngology-Head and Neck Surgery, School Of Medical Sciences, Universiti Sains Malaysia, Health campus, 16150 Kota Bharu, Kelantan,Malaysia.
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Brunei Int Med J. 2017; 13 (6): 215-218