What is the treatment for orbital fracture?

What is the treatment for orbital fracture?

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. Periorbital fat tissue can be displaced into the maxillary sinus from the defect formed in the orbital floor or inner wall (enophthalmus). The eye moves the eye to the fracture lines. Extraneous muscles may also be compressed, eye movements may be restricted, double vision (diplopia) may occur in some directions of gaze. In such cases, it is appropriate to be alert and be examined by an ophthalmologist.

Double vision or diplopia may occur in eye socket fractures. Other elements may occur

Due to the passage of the eye socket contents from the fracture site towards the sinus, the eye is displaced inwards or inwards-downwards, sometimes downwards.

This sunkenness of the eye in the first days It may not be obvious due to bleeding. Due to compression of the extraocular muscles, eye movement disorder and/or double vision in some directions of gaze may occur, 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, examination findings, computerized It is diagnosed based on tomography (CT) and MRI 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 that the patient should pay attention to after the operation!

We already carry out follow-up examinations the very next day. It is important to combat edema immediately after the operation and in the first days. "Medications should be used regularly and rest should be emphasized," he said.

 

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