Trauma to the bones of the mid-face (upper jaw, cheeks and sinuses) and orbit (eye socket) can cause double vision and/or sinking of the eye into the socket or cheek. Repairing an orbital fracture provides support to the eye to prevent or correct these complications. These injuries require the special skills of an Oculoplastic surgeon who has the necessary training in both Ophthalmology and Plastic surgery.
The decision to perform surgery on the orbit depends on the severity of the injury as well as the doctor's and patient's preferences. Sometimes a CT scan will be done to help make the decision. If surgery is needed, it is performed either on an outpatient or an overnight stay. The patient generally has moderate swelling that will subside over the ensuing two weeks and the final post-operative result is usually know at about six weeks if the injuries are moderate. If the injury is severe, the recovery time can be significantly longer and possibly require other procedures. The doctor will discuss the prognosis, the surgical procedure and the anticipated recovery period during the pre-op consultation.