Orbital blowout fracture from nose blowing

BMJ Case Rep. 2018 Jun 28;2018:bcr2018224633. doi: 10.1136/bcr-2018-224633.


Orbital blowout fractures are nearly always caused by acute trauma. Non-traumatic cases of orbital blowout fractures have only been rarely described. In this case study, we discuss an orbital blowout fracture directly caused by nose blowing. The patient developed unilateral eye swelling and orbital emphysema. It is important for the clinician to investigate all suspected orbital blowout fractures with imaging and full ophthalmological examination regardless of a trauma history. Most cases of orbital emphysema resolve spontaneously, however one must always exclude compression of the central retinal artery. This may present as acute loss of vision and/or ophthalmoplegia.

Keywords: ophthalmology; oral and maxillofacial surgery; radiology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amoxicillin-Potassium Clavulanate Combination / therapeutic use*
  • Barotrauma / complications*
  • Epistaxis / etiology*
  • Female
  • Humans
  • Nose / injuries*
  • Orbital Fractures / diagnostic imaging*
  • Orbital Fractures / drug therapy
  • Orbital Fractures / etiology
  • Patient Education as Topic
  • Referral and Consultation
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • beta-Lactamase Inhibitors / therapeutic use*


  • beta-Lactamase Inhibitors
  • Amoxicillin-Potassium Clavulanate Combination