Management of orbital blowout fractures: the prognostic significance of computed tomography.

Computed tomography (CT) can be used to aid surgical decision making when the clinical picture is unclear. Patients with blowout fractures and a large amount of orbital expansion and soft tissue herniation have a high risk for developing enophthalmos. Patients with entrapped inferior rectus muscles on CT may continue to have significant diplopia unless they are treated surgically.