In the setting of orbital roof "blow-in" fractures it is imperative to assess for associated facial bone fractures, intracranial abnormalities, causes of visual loss, and impingement of intraorbital structures including the extraocular muscles and optic nerve. These findings in conjunction with clinical symptomatology guide patient management and therefore must be clearly communicated to the clinician.

From the manuscript

Orbital Roof "Blow-in" Fracture: A Case Report and Review

Abstract
We report a relatively rare case of an essentially isolated orbital roof "blow-in" fracture in a pediatric patient. A 13-year-old male presented with headache and nausea following blunt facial trauma sustained during a skate boarding accident. CT head revealed soft tissue swelling and an abnormal bony density in the superior, posterior right orbital region. Follow-up CT orbits revealed a comminuted orbital roof "blow-in" fracture with involvement of the ethmoid air cells and two tiny foci of intracranial air. Expert consultation revealed normal ophthalmologic and neurologic examination; conservative management was recommended. The case report is followed by a brief overview of orbital fractures including pertinent radiographic considerations.