What is Orbital Fracture?

Orbital fracture occurs when a significant impact is applied to the eye socket or its surrounding area. The severity can range from mild to severe, depending on the force and direction of the impact. In some cases, the fracture may result in damage to the eye itself.

Common Symptoms

- Numbness around the cheek

- Double vision

- Swelling and bruising of the eyelids

- Reduced eye movement or inability to move the eye fully due to muscle entrapment caused by fractured bones

- After the swelling subsides, the affected eye may appear sunken or smaller

If these symptoms are present, immediate consultation with an ophthalmologist is recommended. Some cases may not exhibit obvious symptoms initially but can still have an orbital fracture.

Indications for Surgery

1. The fracture involves more than 50% of the orbital floor

2. The affected eye is displaced backward or sunken by more than 2 mm

3. Persistent double vision after swelling subsides, with evidence of muscle entrapment between the fractured bone and the orbital muscles

Optimal Timing for Surgery (Gold Period)

The ideal time for surgical intervention is within 2 weeks after the injury. Delaying surgery beyond this period may result in scar tissue formation, causing permanent restrictions in eye movement and persistent double vision. Early surgical correction improves both cosmetic appearance and functional outcomes.