Orbital Floor Fracture Surgery Double Vision

Surgery for orbital fracture is done to repair any eye rim.

Orbital floor fracture surgery double vision. Vision loss double vision globe malposition hypoesthesia and lid malposition. Immediately after an orbital floor fracture the affected eye may have impaired motility resulting in double vision. In addition the nerve that innervates the cheek and upper lip can become damaged or irritated causing. Oculoplastic surgeons deal with all the complications resulting from orbital fracture repair.

Read more 1 doctor agrees. Orbital floor fracture signs and symptoms can be quite varied ranging from asymptomatic with minimal bruising and swelling to double vision diplopia enophthalmos posterior displacement of the eyeball within the orbit hypo ophthalmia ie hypoglobus and hypoesthesia of the cheek and upper gum on the affected side. Double vision often follows orbital fractures especially blowout fractures in which a crack in the bone below the eyeball traps one or more of the muscles that move the eye. Surgery for orbital fracture is done to remove fragments of the bone free any entrapped eye muscles and to eliminate double vision.

Some of these complications include the very things that surgery is intended to avoid. Double vision probably means the fracture is large enough that it is causing orbital fat to escape through the fracture usually down into maxillary s. The eye may be proptotic or enophthalmic depending on the amount of edema causing proptosis and the size of the fracture larger fractures leading to enophthalmos. So it gives us greater pause to do surgery without strong indications he said.

It can take several months for the double vision to resolve after corrective surgery. Occasionally the orbital floor breaks but does not completely blow out. If this occurs one of the eye muscles can become trapped between the bones causing vertical double vision or a restriction of eye movement when looking up or down. As it healed naturally in the days leading up to the surgery the two eyes were perfectly symmetrical.