Pneumo-orbita mimicking hordeolum

A healthy 12-years-old boy presented with right ocular pain with oedema and hyperaemia of the upper right eyelid, previously misdiagnosed as a stye (figure 1). The symptoms started with a sneeze, 2 days after facial trauma during a karate match. Clinical examination revealed crepitus of the upper right eyelid. Ocular motility and visual function were preserved. Ocular CT showed a fracture of the ethmoidal lamina papyracea (figure …