Confirmed Orbital Fracture?

• Globe disruption

• Entrapment of muscles

• Abnormal VA or EOM

• Abnormal Iris

• Traumatic hyphema

• Unable to assess globe

• Suspected multiple orbital fx’s

• Unrelenting N/V w/o obvious cause

• Bradycardia

Concern of orbital injury?
Enophthalmos (globe looks sunken in)
Vertical dystopia (one globe more inferior/caudal than the other)
Orbital swelling or ecchymosis