To see views enlarged, click on the individual pictures...

This 21-year-old woman presents for examination after receiving immediate care for injuries received in a motor vehicle accident where she sustained facial trauma.  She now has double vision, enophthalmos and limitation of movement in the right eye.

1.	Work up should include:
	a. determination of visual acuity b. thorough eye examination c. testing of sensation of the cheek comparing the right and the left d.  imaging of the orbit e. all of the above
2.	The most likely diagnosis is:
	a. fourth nerve palsy b. third nerve palsy c. partial third nerve palsy d.  blow out fracture of the orbit e. none of the above
3.	The most likely treatment would be:
	a. orbital surgery to repair an orbital floor fracture b. appropriate eye muscle surgery c. prism glasses for the diplopia d.  several months of observation and re-measure of the ocular misalignment e. none of the above

For answers to the above, click here on or after March 27, 2007.