@article{ref1,
title="The white-eyed blowout fracture in the child: beware of distractions",
journal="Journal of surgical case reports",
year="2013",
author="Hammond, D. and Grew, N. and Khan, Z.",
volume="2013",
number="7",
pages="rjt054-rjt054",
abstract="Inferior 'trapdoor' orbital floor fractures with muscle and soft tissue incarceration are the most common type of orbital fracture in children. Delays to treatment can lead to a significant morbidity. It has been recommended that children who present with a 'white-eyed blowout' fracture should have surgery performed within 48h of diagnosis, otherwise prognosis is poor. A 14-year-old boy was initially misdiagnosed with a head injury due to the minor appearance of his orbital injury and his presenting complaint of nausea and vomiting. This resulted in a significant delay to surgery. The oculovagal reflex associated with orbital injuries is well documented (Wei and Durairaj in Pediatric orbital floor fractures. J AAPOS 2011;15: :173-80). It should be considered by emergency department and paediatric staff when dealing with patients who have sustained a blow to the orbital region, despite not having a subconjunctival haemorrhage. The importance of examination to detect other features of orbital blow-out and entrapment are stressed.<p /> <p>Language: en</p>",
language="en",
issn="2042-8812",
doi="10.1093/jscr/rjt054",
url="http://dx.doi.org/10.1093/jscr/rjt054"
}