An orbital fracture occurs when one or more bones of the bony socket of the eye (orbit) are broken. It usually occurs as a result of direct or indirect injury to the face and may affect any of the four walls that form the bony socket that surrounds the eyeball. Depending on the severity of the trauma, it can involve other facial bones as well. Orbital fractures can present with swelling and bruising of the eyelids, pain, double vision, sunken eye, numbness of the upper teeth and parts of the face.
Assessment of orbital fractures includes a thorough eye examination to rule out severe eye injury or damage. Imaging tests like CT scan is also essential to assess the full extent of damage and need for surgery.
Depending on the severity of symptoms and the results of the imaging tests, surgery may or may not be required. Often times, surgery for complicated and extensive fractures is performed in coordination with a maxilla-facial surgeon to ensure the best functional and cosmetic result.
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