Imaging, Management, and Treatment of Orbital Trauma.

Orbital trauma is a common consequence of craniofacial injury with potential for permanent vision loss. Rapid, accurate imaging interpretation is essential for triage and surgical planning. Multidetector computed tomography is the primary modality, enabling detection of fracture patterns, globe injury, extraocular muscle entrapment, and vascular complications. This article offers a systematic approach to orbital trauma evaluation, emphasizing findings that require urgent intervention, such as globe rupture, retrobulbar hematoma, muscle entrapment with ischemia, and orbital apex involvement. Diagnostic pitfalls and indications for surgical consultation are also discussed.