Before and After
Orbital Blowout Fracture
The eye has a significant protective mechanism in the bones around the
orbit. If one is hit in or around the eye, this will normally only
involve the bone of the orbit and the eye would be left intact. When
there is a smaller device like a fist that fits inside the orbit that
hits the eye, many times the bone at the floor of the orbit would be
broken instead of the eye being injured. This is described as a blowout
fracture where the bone at the bottom portion of the orbit is "blown
out" into the sinus.
It is necessary to treat this when there is a large fracture present or
if the eyeball has sunk into the orbit. Of course, there is always some
swelling associated with an injury and fracture like a blowout. If at the
initial observation, the eye is already back in
the socket, then it can be anticipated that it will sink back in even
Of course, trapping of the muscle can occur by the action of the bone as
the muscle is pushed into and against and through the bone with the
injury. If this happens, one may develop diplopia or double vision. This
is a common complication of blowout fracture, and this is one of the most
common reasons for doing surgery.
Dr. Bowden has performed many of these surgeries and will discuss this
with you as necessary regarding the treatment of this.
image for slide show. Some images are very graphic