NTDB DATA POINTS
1. Harris G. Orbital blow-out fractures:
Surgical timing and technique.
2006; 20( 10):1207-1212. Available at:
n10/full/ 6702384a.html. Accessed
January 24, 2016.
2. Smith D. Blowout! Managing the
orbital floor fracture. Available at:
Accessed January 24, 2016.
3. Oculocardiac reflex: Afferent path.
Available at: www.openanesthesia.
path. Accessed January 24, 2016.
4. Associated Press. Doctor says
Encarnacion’s eye injury is “worst
trauma I’ve seen.” Available at:
story?id=3002503. Accessed January
FIGURE 2. MECHANISM OF INJURY
hit in the on-deck circle when
he was struck by a foul ball. He
suffered a devastating orbital
fracture while his globe remained
intact. 4 Spectators, too, are at risk
of being struck by foul balls.
It is important to keep your
head up and watch out for foul
balls. However, if one does get hit
in the eye and sustains a blowout
fracture, it is advisable to avoid
the temptation of an upward gaze
to correct the resultant diplopia. If
not, one could look up and die as
a result of the oculocardiac reflex.
Throughout the year, we
will be highlighting these
data through brief monthly
reports published in the
Bulletin. The NTDB Annual
Report 2015 is available on the
ACS Web site as a PDF file at
ntdb. In addition, information is
available on our website about
how to obtain NTDB data for
more detailed study. If you are
interested in submitting your
trauma center’s data, contact
Melanie L. Neal, Manager,
N TDB, at firstname.lastname@example.org. ♦
Statistical support for this article has
been provided by Crystal Caden-Price, Data Analyst, NTDB.