What is Orbital Trauma?
Orbital trauma refers to an injury to the “orbit”, the bony area that surrounds the eyes. Usually, this involves a fracture of one of these bones as a result of a car accident, sports injury, fall, fight, or blow to the eye by a hard object. Surgery is performed to restore both function and appearance after this trauma.
We also often see patients with injuries to the delicate and important soft tissues of the eyelids and adjacent facial structures. If you have experienced orbital trauma or an eyelid or facial injury, you may be a good candidate for trauma surgery in St. Louis.
Common symptoms of orbital trauma following an injury are:
- Bleeding of the white of the eye.
- Double vision.
- Difficulty moving the eye to look up, down, right, or left.
- Sunken appearance of the eye.
- Numbness in the upper part of the face, sometimes extending to the mouth.
- Deformities of the face after trauma.
Soft tissue injuries are usually obvious and can have important long-term consequences if the eyelids or tear ducts are involved.
Surgery for Orbital Trauma
Not all orbital trauma requires surgery, as some fractures will heal on their own within a few weeks. If you cannot move your eye properly, if your eye looks sunken, or the trauma has resulted in other facial deformities, however, a reconstructive surgical procedure may be necessary to restore both function and appearance.
You will need to undergo a CT scan (special X-ray) to confirm that there are fractures and to see the extent and location of the breaks. The goal, of course, is to bring you back to your appearance and function from before the orbital trauma, including correcting any asymmetry that has resulted from the injury. To achieve this, the surgeon may need to make adjustments to your eyelids and eyebrows, as well as the bony orbit of the eye.
Depending on the location of the orbital trauma, the incisions may be made on the inside of the eyelids where any scarring will not be seen. During the surgery, your doctor may remove bone fragments and eliminate double vision, as well as reconstruct the eye socket, eyelid area, or eyebrow area. Every case is different depending upon the extent of the damage.
Surgery for Eyelid and Facial Trauma
Traumatic injuries and lacerations require careful repair to maintain appearance and function. Optimally, this is done on the first repair. There are important and special issues relating to the eyelids and tear ducts that demand the care of a specialist intimately familiar and experienced with this sort of injury. If you have suffered eyelid and facial trauma, you are a candidate for repair in St. Louis at Ophthalmic Plastic and Cosmetic Surgery, Inc. with Dr. Holds and his associates.
Recovery from Orbital and Facial Trauma
Since no two of these surgeries are the same, your experience will be contingent upon a lot of factors. You may need to spend a night in the hospital, for example, following your procedure.
With fracture repairs, it’s important to avoid blowing your nose and to only sneeze with your mouth open for two weeks. You must also avoid airplanes and helicopters for about a month.. Dressings are generally not applied after surgery.
You will be given a prescription for eye drops and ointment to put in the eye for about two weeks following your surgery, as well as prescriptions for pain medications and an antibiotic. For the first two days, ice packs are recommended to reduce swelling and discomfort.
Despite the efforts to keep swelling down, a little bit of inflammation is to be expected, as well as bruising. These symptoms may last several weeks, and you will generally need to take about two weeks off from work for your recovery. Any sutures are generally removed after a week to 10 days.