Orbital encephalocele is a rare catastrophic complication of orbital roof fractures.
Early diagnosis of this posttraumatic orbital encephalocele is very crucial because
this condition if untreated leads to rapid loss of vision. Whenever displaced orbital
roof fracture is identified in a head injury patient, an orbital encephalocele should
be suspected. Although magnetic resonance imaging is the investigation of choice,
computed tomography of orbit with thin axial and coronal sequences often gives the
diagnosis. Frontobasal approach is the most commonly used surgical approach. Supra-transorbital
approach is a minimally invasive alternative. Good results with regard to the orbital
symptoms can be expected.
Key-words:
Frontobasal approach - intraocular pressure - orbital encephalocele - supra-transorbital
approach
