Orbital trauma refers to any injuries that affect the structures surrounding the eye behind the eyelids, including the bones, muscles, and soft tissues of the orbit. Commonly seen injuries include fractures of the bone of the orbit, lacerations or orbital foreign bodies. Most commonly the initial evaluation after a trauma is done in a hospital setting, but - especially in orbital fractures - not all cases of orbital trauma require immediate surgery. The initial evaluation includes a thorough examination of the eye and surrounding structures to assess for any signs of injury or functional impairment. Imaging studies such as CT scans may be ordered to provide detailed information about the extent of the injury.

Repair of Orbital Blowout Fractures

A blowout fracture is a specific type of facial fracture that occurs when there is a fracture of the bones surrounding the eye, typically the floor or walls of the orbit (eye socket). It is most commonly caused by a blunt force trauma to the area, such as a direct blow to the eye or face. Blowout fractures can lead to a displacement or entrapment of the orbital soft tissues, including muscles, fat, and sometimes even the eye itself.

The management of a blowout fracture typically involves both surgical and non-surgical approaches, depending on the severity and specific circumstances of the fracture. In many cases, conservative management may be recommended if there are no significant symptoms or functional impairments. This involves pain management, cold compresses, and close monitoring of the condition.

However, surgical intervention is often required for significant or symptomatic blowout fractures. The goals of surgery are to restore the normal position and function of the orbital tissues. The specific surgical approach is tailored to the patient, but it involves releasing any trapped tissues and reconstructing the orbital floor or walls with implants. This helps to and restore the normal anatomy and function of the eye and surrounding structures.

In addition to surgical intervention, management also included close monitoring of any potential complications, such as double vision or eye movement disorders. Post-operative care includes regular follow-up visits to monitor the healing process and ensure proper recovery.