EURORAD ESR

Case 8735

Ruptured globe following traumatic eye injury

Author(s)
Dr MAF McNeill, Dr C Nyhsen.
 
Patient
male, 61 year(s)
 
 
  • Figure 1
    Radiograph of facial bones

    Right orbital floor fracture with fluid in maxillary antrum.

     
     
     
  • Figure 2
    CT orbits - axial views
     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe. Please note the low attenuation material on the anteromedial aspect of the right globe, which represents leaked globe contents.

     

    Ruptured globe

     

    Please also note the small oval high attenuation area antero-medially just outside the ruptured right globe. This represents the displaced lens (see similarity to normally positioned lens on the left).

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     

    Ruptured globe

     
     
     
  • Figure 3
    CT maxillary antrum, axial images - bony windows
     

    Orbital floor fracture

     

    Orbital floor fracture

     

    Orbital floor fracture

     

    Orbital floor fracture

     

    Orbital floor fracture

     
     
     
  • Figure 4
    Ct right orbit - saggital reconstruction
     

    Right sided ruptured globe with associated fractures

     

    Right sided ruptured globe with associated fractures

     

    Right sided ruptured globe with associated fractures

     

    Right sided ruptured globe with associated fractures

     

    Right sided ruptured globe with associated fractures

     

    Right sided ruptured globe with associated fractures

     

    Right sided ruptured globe with associated fractures

     
     
     
  • Figure 5
    CT orbits - coronal reconstructions
     

    Right-sided ruptured globe with associated anterior antral wall fracture

     

    Right-sided ruptured globe with associated anterior antral wall fracture

     

    No annotation

     

    No annotation

     

    Right-sided ruptured globe with orbital floor fracture. Please note that there is neither entrapment of the inferior rectal muscle nor herniation of intra-orbital fat.

     

    Right-sided ruptured globe with orbital floor fracture. Please note that there is neither entrapment of the inferior rectal muscle nor herniation of intra-orbital fat.

     

    Right-sided ruptured globe with associated orbital floor fracture. Please also note the high attenuation fluid which almost completely fills the maxillary sinus. This represents fresh hemorrhage.

     
     
     
Right orbital floor fracture with fluid in maxillary antrum.
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe. Please note the low attenuation material on the anteromedial aspect of the right globe, which represents leaked globe contents.
 
Ruptured globe
 
Please also note the small oval high attenuation area antero-medially just outside the ruptured right globe. This represents the displaced lens (see similarity to normally positioned lens on the left).
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Ruptured globe
 
Orbital floor fracture
 
Orbital floor fracture
 
Orbital floor fracture
 
Orbital floor fracture
 
Orbital floor fracture
 
Right sided ruptured globe with associated fractures
 
Right sided ruptured globe with associated fractures
 
Right sided ruptured globe with associated fractures
 
Right sided ruptured globe with associated fractures
 
Right sided ruptured globe with associated fractures
 
Right sided ruptured globe with associated fractures
 
Right sided ruptured globe with associated fractures
 
Right-sided ruptured globe with associated anterior antral wall fracture
 
Right-sided ruptured globe with associated anterior antral wall fracture
 
 
 
Right-sided ruptured globe with orbital floor fracture. Please note that there is neither entrapment of the inferior rectal muscle nor herniation of intra-orbital fat.
 
Right-sided ruptured globe with orbital floor fracture. Please note that there is neither entrapment of the inferior rectal muscle nor herniation of intra-orbital fat.
 
Right-sided ruptured globe with associated orbital floor fracture. Please also note the high attenuation fluid which almost completely fills the maxillary sinus. This represents fresh hemorrhage.
 
 
 
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