Ocular Protrusion with Contralateral Jaw Movement

Ocular symptoms following orbital trauma may consist of diplopia secondary to restrictive strabismus, enophthalmos, traumatic optic neuropathy, or cranial nerve palsies from associated central nervous system injury.¹ We describe a patient with fractures of the lateral and inferior orbit whose symptoms resulted solely from ocular protrusion during contralateral jaw movement. A 16-year-old girl was referred to Arkansas Children's Hospital, Little Rock, for evaluation of right ocular protrusion during leftward jaw movement. Her symptoms followed a motor vehicle accident in which she had been ejected from the back of a moving car and sustained multiple facial fractures. Initial computed tomographic scan showed fractures of the infraorbital rim, zygomatic arch, right body of the mandible, and left subcondylar area. Five days following her injury, she underwent an open reduction of a displaced right malar fracture and a closed reduction of both mandibular fractures with internal maxillary fixation.