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APPOINTMENT!

Orbital Fractures (Enophthalmos, Eye Hollowness)

What is an Orbital Fracture?

An orbital fracture is the breaking of one or more of the bones surrounding the eye socket. It usually occurs as a result of direct trauma (sports injuries, blows, traffic accidents, etc.). The inferior orbital wall (orbital floor) and medial wall are the most commonly fractured areas in this type of trauma. Orbital fractures can disrupt the anatomical structure of the eye, leading to both cosmetic and functional problems.

What is Enophthalmos (Sunken Eye)?

EnophthalmosOrbital fractures are the backward displacement of the eyeball from its normal position. In orbital fractures, the fatty tissue and muscles surrounding the eye sag into the sinus cavities along the fracture line, creating a sunken-looking appearance. This condition not only aesthetically compromises facial symmetry, but also causes double vision, limited eye movement, and loss of depth perception in some patients.

What Causes Orbital Fractures?

The most common causes of orbital fractures are:

  • Sports injuries

  • Facial traumas (beat, fall, accident)

  • traffic accidents

  • Work accidents

  • Explosion or high pressure impact

Orbital Fractures (Enophthalmos, Eye Hollowness) Treatment Process

Treatment Process and Surgical Approach

Not every orbital fracture requires surgery. Small, stable fractures can heal with monitoring. However, in cases where the depression is significant, double vision persists, or eye movements are affected, surgery becomes unavoidable.

Orbital fracture repairIt's performed to replace lost volume in the orbit and correct the eye's anatomical position. The surgery is usually performed through a discreet incision inside the eyelid, leaving no visible scar. When necessary, special implants are placed in the orbit to provide support.

While recovery varies from person to person, most patients can return to their daily routines within a few days. Post-operative swelling and bruising typically subside quickly.

The symptoms of orbital tumors vary depending on the tumor's size, location, and growth rate. Some tumors may cause no symptoms, while others can grow rapidly and seriously affect eye function. The most common symptoms include:

  • Outward protrusion of the eye (proptosis)

  • Swelling and pain around the eyes

  • Double vision (diplopia)

  • Limited eye movements

  • A feeling of pressure or heaviness in the eye

  • Loss of vision or blurred vision

 

Frequently Asked Questions

No. Small, stable orbital fractures can usually be treated with follow-up if there is no loss of eye function. However, if there is sunken vision, double vision, or impaired eye movement, surgery may be necessary.

If left untreated, it can be permanent. However, with appropriate surgical intervention, the eye's depression can be corrected and its aesthetic and functional appearance can be largely restored.

This depends on the extent of the fracture, the timing of surgery, and the individual's recovery. Early and correct surgery successfully restores aesthetic and visual function in most patients.

In rare cases, severe trauma can damage the eye itself. However, with proper treatment, the fracture itself usually does not cause serious vision loss.