Concomitant blowout fracture and rupture of the globe occurred in two patients. According to the hydraulic concept of pathogenesis, the simultaneous occurrence of these injuries is improbable. A more likely explanation of blowout fracture, with direct transmission of force through the infraorbital rim and resulting buckling of the floor, is advanced.
Dodick JM, Galin MA, Kwitko ML. Concomitant Blowout Fracture of the Orbit and Rupture of the Globe. Arch Ophthalmol. 1970;84(6):707-709. doi:10.1001/archopht.1970.00990040709001