case_images: PMC5892343_01
case_images: Clinical appearance of our patient. Top row: at presentation, our patient had obvious difficulties to hold his right eyelid open in primary position due to ecchymosis, and there is a moderate limitation of upgaze. Middle row: one week after the trauma, there is still some limitation of upgaze, but the ecchymosis has resorbed enough so that he can hold the eyelid open. Bottom row: Three months after the injury, we did not observe any functional anomaly in primary or upward movement.
case_images: cop-0009-0126-g01.jpg
case_images: PMC5892343_01_cop-0009-0126-g01.jpg
case_images: F1
case_images: A moderate limitation of upgaze without diplopia was noted (Fig. 1). The boy was followed up once weekly for a period of 1 month and then every month until 3 months after the accident without any clinical signs or complications (Fig. 1).
case_images: Axial CT scan. Extensive subcutaneous presence of air in the right palpebra.
case_images: cop-0009-0126-g02.jpg
case_images: PMC5892343_01_cop-0009-0126-g02.jpg
case_images: F2
case_images: CT with 2.5 mm slice thickness showed a minimally displaced fracture of the ethmoid bone without haemorrhage, enophthalmos, and a gross accumulation of air in the right eyelid followed by pressure exertion over the right globe (Fig. 2, 3).
case_images: Coronal CT scan. Disruption of the right lamina papyracea. Presence of air at the roof of the orbit.
case_images: cop-0009-0126-g03.jpg
case_images: PMC5892343_01_cop-0009-0126-g03.jpg
case_images: F3
case_images: CT with 2.5 mm slice thickness showed a minimally displaced fracture of the ethmoid bone without haemorrhage, enophthalmos, and a gross accumulation of air in the right eyelid followed by pressure exertion over the right globe (Fig. 2, 3).
case_images: Axial CT scan. One month after the trauma. Complete resolution of air in the right palpebra.
case_images: cop-0009-0126-g04.jpg
case_images: PMC5892343_01_cop-0009-0126-g04.jpg
case_images: F4
case_images: CT at 1 month showed completely resolved enophthalmos and periorbital emphysema (Fig. 4).