Management of White-Eyed Blowout Fracture in the Pediatric Population

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“…Reduced perfusion and consequent fibrosis are caused by the prolonged incarceration of the inferior rectus. This results in marked restriction of superior movement of the eye and hence persistent diplopia on upgaze [2]. In addition, Yew et al suggested that persistent diplopia is the most common complication of those sustaining white-eyed blowout fractures.…”

“…with minimal external signs of soft tissue trauma (white-eye), ocular motility dysfunction (usually limitation in upgaze), diplopia, lack of enophtalmos, and with radiologic signs of minimal fracture [2].…”

White-eyed blowout fracture: A 10 days delayed surgical intervention and outcomes: A case report

“…Timing of surgery plays a major role and the current literature accepts the fact that white-eyed blowout must be intervenedwithin 24-48 hours. Yang et al 10 observed that there was no differences in the success rate of the surgery when it was performed within 24 h, between 24 and 72 h and after 72 h. Balaraman et al 2 reported that delayed surgical treatment lead to permanent restriction of eye movements in the upward gaze eventually causing diplopia whereas, early surgicalmeasurerestores the normal function of the muscle and prevents the occurrence of ischemia to the extraocular muscles. In the present case report, a delayed surgical treatment was initiated as the clinical presentation of the patient was 10 days after the trauma to the orbit.…”

“…Belooki blowout prelomi obično se povezuju sa čistim prelomima poda orbite kod dece i adolescenata i nastaju zbog veće elastičnosti kostiju lica. Belooki blowout prelomi obično se manifestuju diplopijom, ograničenim pokretima očne jabučice pri pogledu nagore, te zahtevaju brzu dijagnozu i blagovremenu hiruršku intervenciju 2 . Ovaj prikaz slučaja imao je za cilj da predstavi funkcionalni ishod u lečenju belookog blowout preloma u dečjem uzrastu.…”

“…Orbital floor fractures are common in pediatric group, which can be either pure or impure blowout fractures associated with zygomaticomaxillary complex fractures. The term white eye blowout fracture was first coined by Jordan in 1998 1 .White eye blowout fractures are commonly associated with pure blow fractures of the orbital floorin children and adolescence due to greater elasticity nature of the facial bones.Trap door blowout fractures usually present with a clinical sign of diplopia, restriction of upward gaze movementswhich require prompt diagnosis and timely surgical intervention 2 .The current case report aimed to evaluate the functional outcome in the management of pediatric white eye blowout fracture.…”