Orbital Fractures

Orbital Fractures (Eye Socket Fractures)

The force of blunt trauma around the eyes may cause the bones of the orbit (bones around the eye) to fracture.

When this happens, the eye may sink back into the orbit. Also, double vision may result if the muscles that move the eye become entrapped in the fracture.

Other signs that indicate possible orbital fracture after an injury to the eye socket include:

  • Limited range of motion in the eyeball
  • Double vision
  • Headache
  • Numbness in the cheek or teeth
  • A “sunken in” eye

Orbital fractures often require repair, and should be repaired within one to two weeks of the injury. The fractures are often approached via an incision in the outer corner of the eye (“crow’s feet”) and inside of the eyelid. In some cases, incisions may be required in the upper eyelid crease or the inside of the mouth. Once the fracture is exposed in surgery, the orbital contents are moved from the fracture back into the orbit and an implant is placed to occlude the fracture site. The implant is made from a synthetic coral material and it has pores to allow the body’s blood vessels to grow into it.

The procedure to repair orbital fractures is performed in the operating room with the patient under general anesthesia. The length of the procedure and recovery time will depend on many factors, including the location and severity of the injury. Most procedures will take between one and two hours. After surgery, patients may continue to experience double vision for a few days, which will resolve on its own. Pain medication may be necessary, depending on the severity of the injury, and stitches will dissolve without having to be removed. Many patients can return to normal activities, including wearing makeup and contacts, within a week.

Dr. McCracken will meet with you to assess your individual situation and discuss any possible risks that you may experience. Request an appointment online or call the McCracken Eye and Face Institute today at 720-851-6600 to set up an appointment for a consultation with Dr. Michael McCracken. In addition to treating orbital fractures, Dr. McCracken treats ptosisectropion and facial nerve palsy. He is also a skilled facial plastic surgeon, offering mid-faceliftlower eyelid surgery and upper eyelid lift in Denver.

qt-imgIn September I had an accident which vertically split my upper right eyelid. Dr. McCracken’s office made room to see me on an emergency basis and scheduled me for surgery a few days later…

-Roger Harmelink