Serious health problems may occur as a result of fractures in the eye socket after severe blows to the eye.
Trauma can be caused by a punch to the eyeball, a tennis ball, a football ball, an elbow impact, etc. It is a collapse-like fracture in the lower or inner wall of the eye socket as a result of a sudden increase in intraorbital (eye socket) pressure after harsh trauma. It may occur with facial fractures in the middle part of the face or alone.
Ophthalmology Specialist Prof. gives important details about Blow-Out trauma and fracture of the eye socket, and what should be done urgently after fractures that occur in traumas. Dr. Kadircan Keskinbora explained.
"Fractures that occur in the orbital walls in the first moments are called blow-out fractures. Through the fracture or gap formed in the orbital floor or inner wall, the fatty tissue in the eye socket can be displaced into the maxillary sinus (enophthalmus). Fracture The extraocular muscles that move the eye may also be compressed, there may be a limitation in eye movements, and double vision (diplopia) may occur in some viewing directions. In such cases, it is appropriate to be alert and be examined by an ophthalmologist.
Eye Double vision or other elements may occur in orbital fractures
Due to the passage of the orbital contents from the fracture site towards the sinus, the eye is displaced inwards or inwards-downwards, sometimes downwards.
In the first days, this collapse of the eye may not be obvious due to bleeding. Due to the compression of the extraocular muscles, eye movement disorder and/or double vision in some viewing directions may occur, and limitation of eye movements may occur. One eye may appear lower, higher or smaller than the other. It is useful to close one eye and look with the other to see if there is a change in visual acuity.
Post-traumatic diagnosis is important!
In all kinds of post-traumatic orbital injuries, the eyeball The patient must be carefully examined and evaluated in terms of tearing, damage, or injury to other soft tissues inside the eye socket. As a matter of fact, the probability of eye injury accompanying orbital fractures generally varies between 10% and 25%. diagnosis � is determined by examination findings. Another thing to consider is that neighboring organs such as the nose, brain base, and sinuses may also be injured and therefore consultation may be required.
After the edema and bleeding caused by the trauma subside, it must be corrected surgically in the early period. Enophthalmos, diplopia, infraorbital nerve hypoesthesia or anesthesia are indications for surgery. If there is a large fracture gap, it is appropriate to repair it.
How long does the operation take?
The patient's condition may vary between 1.5 and 4 hours depending on the severity of the incident. The operation is performed under general anesthesia.
Points the patient should pay attention to after the operation!
A control examination should be performed the next day. It is important to combat edema immediately after the operation and in the first days. Medicines should be used regularly and rest should be emphasized.
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