The consequences of orbital trauma
Accidents, carelessness, or other causes are the causes of orbital trauma . The most common causes are those that occur during physical exercise, in traffic accidents, if we suffer physical assaults, or have accidental falls. Trauma not only affects the surface of the eye but can also have severe consequences for the entire orbital structure. First, we must ensure that, after any type of trauma, the patient’s vision has not been adversely affected. Normally, vision is preserved in most cases, but orbital fractures can occur. The most common are known as “blow-out” fractures. In these cases, the impact produced by the trauma impacts the eye with great energy, and the eye transmits the force to the other orbital structures. The bony walls inside the orbit are thin layers that can be affected by such trauma. To analyze the impact of the trauma on the eye, it is necessary to consult a professional and perform an orbital CT scan.
Does it necessarily require intervention?
Generally, trauma does not require surgery, as it always depends on the extent of the damage caused. However, there are two cases in which it is necessary: when the trauma affects the muscles that produce eye movement and when the orbital fracture causes enophthalmos, i.e., a sunken eye. In the first situation, the eye cannot perform its normal, normal movement. This produces what we call diplopia or double vision, where one eye sees an image and the other sees the same image, but slightly displaced. Treatment in these cases involves releasing the affected muscle and restoring the orbital wall. In the second situation, if the trauma is severe , the orbital cavity may expand, becoming larger and creating a visible difference between one eye and the other. In this case, the orbital wall has been violated, and surgical treatment is required to reconstruct it. In addition to fractures in the orbital area, eyelid injuries can also occur. In these cases, it is of utmost importance to ensure the integrity of the tear duct, which must be repaired during surgery. An injury to the eyelids can seriously affect the eye, impairing its protective function and exposing it to harmful external agents. Treatment of orbital trauma requires an ophthalmologist trained in oculoplastic surgery . Visiting Dr. Nieto allows you to maintain the preservation of your vision and also ensure a good aesthetic and functional result. Our vision is valuable, and above all, we must take care of it.
