What is the role of radiography in the workup of globe rupture?

Updated: Sep 03, 2019
  • Author: John R Acerra, MD; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Orbital plain films of the orbits and sinuses are rarely used for diagnosis in orbital trauma.

A 3-view plain film series is most useful in evaluating the bony orbits and the sinuses and in identifying radiopaque foreign bodies.

Waters projection provides the best view of the orbital floor and detects air-fluid levels in the maxillary sinuses.

Caldwell or anteroposterior view visualizes the medial orbital wall, the lateral and superior orbital rims, as well as the ethmoid and frontal sinuses.

The third projection, or lateral view, is most useful in visualizing the orbital roof, maxillary and frontal sinuses, zygoma, and sella turcica.

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