Knowing the “mechanism of injury” gives you an idea of how serious the associated injuries may be. With a small accelerating object such as a bungee cord or hockey puck, there is often more direct globe trauma than with larger objects like a fist or soccer ball where some of the force is absorbed by the orbital rim and periorbital area. It is useful to know the size and shape of the object, as well as the force and velocity at which the object struck the eye. Determination of the mechanism of injury helps guide suspicion for injuries to the globe, eyelids, optic nerve, and adjacent ocular adnexal structures. Once life- and sight-threatening injuries have been addressed and the patient is medically stable, the oculoplastic surgical assessment should include a thorough medical and surgical history. A comprehensive ophthalmologic examination should be performed by an ophthalmologist. Stabilization of the airway and cardiopulmonary system is of utmost importance, particularly in the polytrauma patient. Initial assessment and management are guided by the severity and nature of the patient’s injuries. This surgery to place an orbital implant for orbital fracture repair often leaves little or no scarring, and the recovery period is usually brief.An orbital floor fracture or “blowout fracture” is most often associated with midfacial trauma ranging from mild and seemingly insignificant to severe and debilitating. She also uses a variety of the latest thin orbital implants to seal the hole in the orbit caused by the fracture. Sherman performs an advance technique for the orbital blow-out fracture repair, all done through a hidden incision behind the lower eyelid, minimizing visible scars. If there is only an orbital fracture and no other significant injury, surgical orbital fracture repair is often performed in an outpatient surgery center, with the patient usually being allowed to go home 1-2 hours after surgery.ĭr. Some injuries may require surgical repair to realign bones and restore normal eye movement. Treatment for a blowout fracture of the orbit includes cold compresses, pain medications, and wound irrigation and cleansing. Sherman will discuss what types of treatment are needed to repair the orbital fracture for best results. Once the fracture is reviewed on the CT scan and the patient is examined, Dr. If the ophthalmologist suspects the presence of an orbital fracture, diagnosis of orbital fractures is best made by CT scan. Sometimes eye injuries, such as eyeball and eyelid lacerations, can occur as a result of the blowout fracture. How is a blowout fracture of the orbit treated?įirst, a complete eye exam is performed by an ophthalmologist to assess the extent of the eye injuries. This can prevent the injured eye from moving normally, thus explaining the double vision or a pulling sensation on eye movement that often occurs. In some cases, the eye itself is not seriously injured, but the lower eye muscles may become trapped in the broken bones. Eye pain, facial pain, and facial swelling.Numbness of the lower lid, lip, and cheek should make one suspicious for an orbital fracture.Double vision or restriction of eye movement, especially in up gaze.What are the symptoms of a blowout fracture of the orbit? ![]() This can leave the orbital bones out of position, which can affect eye muscle movement and cause a sinking of the tissues around the eye. ![]() ![]() A forceful impact to the bones around the eye can cause the thin bones surrounding the eye to “blowout” or fracture. What is a blowout fracture of the orbit?Ī blowout fracture of the orbit is an injury that results in a fracture of the thin bones that surround the eye. Sherman is Board Certified and has fellowship training in Oculoplastic and Eye Plastic surgery, so she is uniquely qualified to correct orbital blowout fractures. She knows the eye and orbital boney anatomy to the highest degree. As an Occuloplastic surgeon with over 20 years of experience, she is well qualified to examine you and discuss with you all available treatment options. The most common fracture that occurs in the bones around the eye is called a Blowout fracture. When considering treatment for a blowout fracture, it is of paramount importance to see an expert with extensive experience in the repair of this serious injury. See the Expert for Blowout Fracture of the Orbitīecause she is an Ophthalmologist and Oculoplastic Surgeon, eyes are her first priority.
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