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August 1971

Traumatic Proptosis

Arch Ophthalmol. 1971;86(2):237-238. doi:10.1001/archopht.1971.01000010239019

AN INSTANCE of blunt facial trauma resulting in profound proptosis is presented for general interest.

Report of a Case  An otherwise healthy 21-year-old soldier presented to the 95th Evacuation Hospital, Danang, Vietnam, complaining of obvious disfigurement and pain in the right eye. The patient had been riding on a tank four hours previously when it struck a land mine. Having been thrown forward with the explosion, this soldier struck the right side of his face against an edge of armor plating. There was no loss of consciousness.On initial examination marked proptosis of the right eye was apparent. The patient was unable to close his lids to cover the globe, and, in fact, his lids were tightly closed posterior to the globe's equator (Fig 1 to 3). The orbital rims and remainder of the facial bones appeared to be intact. There was a 2 cm superficial skin laceration

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