Blunt force Orbital Trauma with Visual Compromise, CT
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0286-Blunt force Orbital Trauma with Visual Compromise, CT
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CA0286-Blunt force Orbital Trauma with Visual Compromise, CT
Case ReportHistory
Exam
Findings
Preseptal Soft tissues and Orbital Adnexa
The preseptal, adnexal and supra orbital/frontal soft tissues are swollen/edematous some areas showing evidence of acute or subacute hematoma. There is minimal air in the supraorbital area of soft tissue swelling with radiodense debris in that same area.
There is no air or other density/signal pattern suggestive of a penetrating injury.
Eyes and Optic nerves
The eye is compressed and the shape of the eye is conical. The anterior chamber is reduced in size. The lens replacement is skewed and more anterior than usual within the anterior segment.
There is no evidence of a subretinal, subchoroidal, subhyaloid or intravitreous hemorrhage or other fluid collection. There is evidence of hemorrhage along the optic nerve and/or sheath and in the temporal aspect of Tenon’s space.
The junction of the optic sheath/nerve is tented and marked proptosis is present. The optic sheath/nerve has a stretched appearance so that signs of tension orbit are clearly present.
Orbits
There is no abnormal air collection in the postseptal extraconal or intraconal orbital compartments penetrating injury; however, the extraconal and intraconal orbital fat shows extensive edema and hemorrhage. There is a substantial hematoma and/or other swelling affecting the inferior rectus and inferior oblique muscles.
The bones of the orbit including the optic canal are normal.
Brain
There are no intra-axial or extra-axial abnormalities of the brain that might be related to the eye/orbital pathology. The deep white matter changes in the brain are consistent patient’s age.
