Orbital Blow Out Fracture

By Dr. Kevin -
27 year old uninsured man presents today after getting punched last night in his left eye. He blew his nose this morning and the lower lid immediately swelled up. Conjunctiva, cornea, anterior chamber and posterior pole examination was unremarkable. There was no diplopia on upgaze. Diagnosis?

CT of orbits and brain were ordered without contrast and follow-up with our oculoplastics scheduled. Keflex 250mg qid was given and he was instructed to not blow his nose.

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