II. Exam

  1. Remove contacts immediately
    1. Removal difficult with swelling
  2. See Eye Exam

III. Complications: Conditions secondary to blunt Trauma

IV. Imaging: Indicated if penetrating injury suspected

  1. Orbital CT Scan (1-1.5 mm cuts, axial and coronal) or
  2. XRay (up and down gaze views) if CT not available

V. Management

  1. Patients who are discharged
    1. Close interval follow-up
    2. Self-monitoring of vision and immediate return for worsening or lack of improvement

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