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Keywords:

  • Blowout;
  • children;
  • fracture;
  • white-eye.

Key Clinical Message

Not all orbital fractures are associated with clinical signs of swelling, ecchymosis, and subconjunctival hemorrhage. The “white-eyed” blowout fracture is more commonly seen in children and is associated with entrapment of the extraocular muscles. Early surgical intervention is indicated and it must have been in the differential diagnosis of the head injury patient with opthalmoplegia.