Entrapment of the lateral rectus muscle with associated oculocardiac reflex in pediatric facial trauma: A case report

Extraocular muscle entrapment is a well-studied occurrence that can occur with fractures involving the orbit. While orbital fractures are more common in adults, muscle entrapment is more common when these fractures occur in pediatric patients. The lateral orbital wall is the strongest surface of the orbit as it is the only surface that lacks an adjacent sinus. In the pediatric population, fractures of the lateral orbital wall are rare, and entrapment of the lateral rectus muscle is even more so. To the authors' knowledge, this is the second reported case of lateral rectus muscle entrapment in a pediatric patient and the first with associated oculocardiac reflex.