Orbital fracture

What is it?

Orbital fracture is surgical treatment consisting of inserting some plates to correct a fracture of the orbit (these can be Medpor or titanium plates).

In which cases?

  • Patients with enophthalmos
  • Eyelid and orbital injuries
  • Tear duct injuries

Previous examinations

  • A full ophthalmological examination and eyelid and periocular examination
  • Photos are taken to assess the patient’s condition before and after treatment
  • A Hertel test is conducted (also known as exophtalmometry). This consists of measuring the position of both eyes.
  • In addition, an orbital CT scan is carried out to assess the cause of the patient’s enophthalmos.

During the surgical operation

  • This treatment is carried out in the operating theatre of the out-patient’s unit.
  • The specialist in oculoplastic surgery places some plates in the orbit to cover the fracture. These can be “Medpor” or titanium plates.

After the operation

  • The surgeon occludes the patient’s eye for 24 hours (however in some cases this occlusion may be extended to one week) and the patient must also take antibiotics and anti-inflammatory drugs
  • Ice must be applied to the treated area during the first few weeks
  • It is also important to have enough rest for the first few days and avoid picking up heavy objects and taking exercise

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