Orbital Fracture

11 min read

An orbital fracture, also known as a blowout fracture, is a fracture of the bones that form the eye socket. It is usually caused by a direct blow to the eye area, such as a punch or a fall. Orbital fractures can cause a variety of symptoms, including double vision, swelling, and pain. Treatment for orbital fractures typically involves surgery to repair the fracture and restore normal eye function.

Causes of Orbital Fracture

Orbital fractures are usually caused by a direct blow to the eye area, such as a punch or a fall. Other causes of orbital fractures include motor vehicle accidents, sports injuries, and physical assaults. In some cases, orbital fractures can be caused by a blunt object, such as a baseball or a hammer.

Diagnosis of Orbital Fracture

Orbital fractures are typically diagnosed with a physical examination and imaging tests, such as a CT scan or an MRI. During the physical examination, the doctor will look for signs of swelling, bruising, and double vision. Imaging tests can help the doctor determine the extent of the fracture and any associated injuries.

Complications of Orbital Fracture

Orbital fractures can cause a variety of complications, including double vision, swelling, and pain. In some cases, the fracture can cause damage to the eye muscles, which can lead to vision problems. In severe cases, orbital fractures can cause damage to the optic nerve, which can lead to permanent vision loss.

Prevention of Orbital Fracture

The best way to prevent orbital fractures is to wear protective eyewear when participating in activities that may cause eye injuries. Wearing a helmet when playing contact sports can also help reduce the risk of orbital fractures. Additionally, it is important to be aware of your surroundings and take steps to avoid falls and other accidents that may cause eye injuries.

Take the Orbital Fracture Assessment

Symptoms

Pain

Pain is the most common symptom of an orbital fracture. It can range from mild to severe and may be localized to the area around the eye or may radiate to other parts of the face. Pain may be worse when the eye is moved or touched.

Swelling

Swelling is another common symptom of an orbital fracture. It can cause the eyelids to swell and the eye to appear sunken. Swelling can also cause the eye to appear red and may be accompanied by bruising.

Double Vision

Double vision, or diplopia, is a common symptom of an orbital fracture. It occurs when the muscles that control eye movement are damaged. Double vision can be temporary or permanent, depending on the severity of the fracture.

Other Symptoms

Other symptoms of an orbital fracture can include a feeling of pressure in the eye, a decrease in vision, and a feeling of numbness or tingling in the face. If you experience any of these symptoms, it is important to seek medical attention.

Causes

Common Causes of Orbital Fractures

  • Falls
  • Sports injuries
  • Car accidents
  • Assault
  • Gunshot wounds

Risk Factors

Certain factors can increase your risk of an orbital fracture, including:

  • Participating in contact sports
  • Being in a car accident
  • Being in a fight
  • Being a victim of assault
  • Being a victim of a gunshot wound

Complications

An orbital fracture can cause a number of complications, including:

  • Double vision
  • Eye socket deformity
  • Eye socket displacement
  • Vision loss
  • Infection

If you suspect you have an orbital fracture, it is important to seek medical attention right away. Your doctor can diagnose the fracture and recommend treatment.

Getting a Diagnosis

Signs and Symptoms

The most common signs and symptoms of an orbital fracture include:

  • Pain and swelling around the eye
  • Bruising around the eye
  • Double vision
  • Blurred vision
  • Numbness or tingling in the face
  • Difficulty moving the eye

Diagnostic Tests

To diagnose an orbital fracture, your doctor will likely perform a physical examination and ask about your medical history. Your doctor may also order imaging tests, such as a CT scan or MRI, to get a better look at the bones around the eye.

Treatment

Treatment for an orbital fracture will depend on the severity of the fracture. In some cases, the fracture may heal on its own with rest and ice. In more severe cases, surgery may be necessary to repair the fracture and prevent further damage to the eye.

Questions for Your Doctor

Symptoms

Describe any symptoms you are experiencing, such as pain, swelling, double vision, or changes in vision. Be sure to mention any other symptoms that may be related to the injury, such as headaches, dizziness, or nausea.

Treatment Options

Discuss the treatment options available to you. Depending on the severity of the fracture, your doctor may recommend surgery, medications, or physical therapy. Ask your doctor to explain the risks and benefits of each option.

Recovery Time

Find out how long it will take for you to recover from the injury. Ask your doctor what activities you should avoid during the recovery period and when you can expect to return to your normal activities.

Follow-up Appointments

Ask your doctor when you should schedule follow-up appointments. It is important to keep these appointments to ensure that your injury is healing properly.

Questions

Write down any questions you have before your appointment so you don't forget to ask them. Your doctor should be able to answer any questions you have about your injury and treatment.

Treatment

Rest

Rest is the most important part of treatment for an orbital fracture. It is important to avoid activities that may cause further injury to the eye socket, such as contact sports or activities that involve a lot of jumping or running. It is also important to avoid activities that may cause increased pressure in the eye socket, such as straining or lifting heavy objects.

Medications

Pain medications may be prescribed to help manage the pain associated with an orbital fracture. Anti-inflammatory medications may also be prescribed to reduce swelling and inflammation. In some cases, antibiotics may be prescribed to prevent infection.

Surgery

Surgery may be necessary to repair an orbital fracture. The type of surgery will depend on the severity of the injury. In some cases, the broken bones may be realigned and held in place with plates and screws. In other cases, the broken bones may need to be removed and replaced with artificial materials. Surgery may also be necessary to repair any damage to the eye or surrounding tissues.

Conclusion

Treatment for an orbital fracture depends on the severity of the injury. Rest is the most important part of treatment, and medications may be prescribed to help manage pain and inflammation. In some cases, surgery may be necessary to repair the fracture and any associated damage.

Drugs & Medications

Pain Medications

Pain medications are often used to reduce the pain and discomfort associated with an orbital fracture. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen are commonly used to reduce pain and swelling. Acetaminophen is also an option for pain relief. Narcotic pain medications such as codeine and oxycodone may be prescribed for more severe pain.

Steroids

Steroids are often used to reduce inflammation and swelling associated with an orbital fracture. Corticosteroids such as prednisone and methylprednisolone are commonly used. These medications can be taken orally or injected directly into the affected area. Steroids can help reduce pain and swelling, but they can also have serious side effects, so they should be used with caution.

Antibiotics

Antibiotics may be prescribed to prevent or treat an infection that can occur with an orbital fracture. Commonly used antibiotics include amoxicillin, cephalexin, and clindamycin. These medications can be taken orally or applied topically to the affected area.

Other Medications

Other medications may be prescribed to treat an orbital fracture. These include muscle relaxants to reduce muscle spasms, anticonvulsants to reduce seizures, and anti-anxiety medications to reduce stress and anxiety. Your doctor will determine the best treatment plan for you based on your individual needs.

Conclusion

An orbital fracture is a break in the bones that form the eye socket. Treatment typically involves rest, ice, and medications to reduce pain and swelling. Pain medications, steroids, antibiotics, and other medications may be prescribed to treat an orbital fracture. Your doctor will determine the best treatment plan for you based on your individual needs.

Diet

Nutrition for Healing

A healthy diet is essential for healing from an orbital fracture. Eating a balanced diet that includes plenty of fruits and vegetables, lean proteins, and whole grains can help the body repair itself. Additionally, foods that are high in calcium, such as dairy products, can help strengthen the bones and promote healing.

Vitamins and Minerals

Certain vitamins and minerals can also help with healing from an orbital fracture. Vitamin C is important for collagen production, which helps the bones heal. Vitamin D helps the body absorb calcium, which is important for bone health. Zinc is also important for healing, as it helps the body produce new cells. Eating foods that are rich in these vitamins and minerals, such as citrus fruits, leafy greens, and nuts, can help the body heal from an orbital fracture.

Hydration

Staying hydrated is also important for healing from an orbital fracture. Drinking plenty of water can help the body flush out toxins and keep the cells hydrated. Additionally, drinking herbal teas can help reduce inflammation and promote healing. Avoiding sugary drinks and alcohol can also help the body heal more quickly.

Conclusion

Eating a healthy diet and staying hydrated can help the body heal from an orbital fracture. Eating foods that are high in calcium, vitamins, and minerals can help the bones heal more quickly. Additionally, avoiding sugary drinks and alcohol can help the body heal more quickly. Following these dietary guidelines can help speed up the healing process.

Lifestyle

Get Plenty of Rest

Getting plenty of rest is essential for recovery from an orbital fracture. Your body needs time to heal, and rest helps to reduce inflammation and swelling. Aim to get at least 8 hours of sleep each night, and take naps during the day if needed. Avoid activities that require a lot of physical exertion, as this can put extra strain on the affected area.

Eat a Healthy Diet

Eating a healthy diet is important for recovery from an orbital fracture. Eating a balanced diet that includes plenty of fruits, vegetables, and lean proteins can help to promote healing and reduce inflammation. Avoid processed foods and sugary snacks, as these can slow down the healing process.

Avoid Alcohol and Smoking

Alcohol and smoking can interfere with the healing process and increase the risk of complications. Avoid drinking alcohol and smoking cigarettes while you are recovering from an orbital fracture. If you need help quitting, talk to your doctor about available resources.

Wear Protective Gear

Wearing protective gear, such as a face mask or helmet, can help to reduce the risk of sustaining an orbital fracture. If you participate in contact sports or other activities that involve a risk of facial injury, make sure to wear the appropriate protective gear.

See Your Doctor Regularly

It is important to see your doctor regularly while you are recovering from an orbital fracture. Your doctor can monitor your progress and make sure that the fracture is healing properly. They can also provide advice on lifestyle changes that can help to reduce the risk of complications.