The muscle and fascial layers are incised lateral to a rectus incision.

Given the ultrasound findings, an orbital biopsy, rather than a decompression, was performed. An irregular mass was noted adjacent to the right medial rectus muscle.

Herniation of orbital fat, the inferior rectus muscle, and the inferior oblique muscle may occur and herniated extraocular muscles entrapped between the fragmented bone segments may lead to diplopia.