During a baseball game, the pitcher is hit in the left eye with a hard-hit line drive. He is rushed to the nearest emergency department where CT scan reveals left orbital rim and floor fractures and fluid in the left maxillary sinus. What are physical findings likely to include?

Blowout fractures of the orbit exhibit epis- taxis; subcutaneous emphysema and periorbital ecchymosis are also frequently encountered. Treatment of most severe injuries is by surgical repair, often by a lower lid blepharoplasty incision. Enophthalmos, lateral diplopia and blindness do not generally occur.