Sounds like he got his head slammed in the door, while trying to get out.
That's one of the possibilities I am wondering about.
Doc, I have evaluated patients with orbital blowout fractures who had been fist punched in the eye. I'm thinking it depends on the accuracy and power of the blow.
Iirc the last I saw was when a oilfield Texan hit a poor sucker from Montanny in the left eye.