Do orbital floor fractures need surgery?
Do orbital floor fractures need surgery?
Currently, the most common treatment for orbital floor fractures is immediate surgical intervention. However, there are a number of well-documented cases of unoperated orbital floor fractures in the literature, culminating in diplopia or enophthalmos in few patients.
How long does it take to recover from orbital fracture surgery?
Conclusions: Orbital floor strength is regained 24 days after repair. The authors now let patients resume normal activities approximately 3 weeks after uncomplicated orbital floor fracture repair.
How long does an orbital floor fracture surgery take?
How long does Orbital Fracture Surgery take? Orbital surgery takes roughly 1 to 2 hours to perform. It is an outpatient procedure and patients go home that day.
How is orbital fracture surgery performed?
The repair of orbital fractures involves fracture site exposure, freeing tissue prolapsed into the fracture site, and reapproximating the orbital wall support, usually with an implant.
Is orbital fracture surgery painful?
Most patients have a minimal amount of pain following fracture repair. Tylenol and ibuprofen are the typical pain medicines necessary, though occasionally some patients may need stronger pain control. Antibiotics are typically taken as well for 1 week following surgery and ointment is placed on the corner of the eye.
When do orbital fractures need surgery?
Even problems with your vision can fix themselves over time without surgical treatment. Indirect orbital fractures will only need surgery if another part of the eye has become trapped in the break or if more than 50% of the floor is broken. Most of the time this type of fracture is better when left alone.
How serious is an orbital fracture?
These fractures may be asymptomatic and can be observed or cause problems with double vision, or a change in the position of the eyeball, and require surgical repair.
What kind of surgeon fixes orbital fractures?
Blunt force trauma and sharp force trauma due to assaults, athletic activities and falls can lead to canalicular lacerations, eyelid lacerations, orbital fractures and orbital hemorrhages. An oculoplastic surgeon will examine and treat the eyeball in addition to the socket as the eyeball is an injury-prone area.
What type of surgeon fixes orbital fractures?
For the isolated orbital fractures, the ophthalmologist is well equipped to diagnose and treat these injuries. In the setting of more complex fractures, a multidisciplinary approach may be necessary. However, the ophthalmologist should take the lead as the guardian of ocular function.
What is a left orbital fracture?
Orbital Fracture and Traumatic Injury. Orbital fractures are breaks in any of the bones surrounding the eye area (also known as the orbit or eye socket). These fractures are almost always a result of a blunt force trauma injury, whether by accident or from sports.
What is treatment for orbital fracture?
Medical Therapy Most isolated medial wall orbital fractures require no treatment other than applying ice compresses, warning patients to avoid blowing their nose, and providing decongestants and systemic antibiotics.
When does an orbital fracture need surgery?
Indications for surgery are enophthalmos (>2 mm), ocular motility dysfunction, and persistent diplopia in primary gaze or reading position, CT findings of ocular muscle impingement and over 50% of floor involvement, progressive V2 hypesthesia, and abnormal forced duction testing.