Show Summary Details
Page of

Orbital Trauma 

Orbital Trauma
Orbital Trauma

Aaron R. Plitt

, Benjamin Kafka

, Tarek Y. El Ahmadieh

, and Christopher J. Madden

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2022. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 26 May 2022

Orbital and ocular trauma occurs in 10–17% of all cases of trauma. There should be a high suspicion for orbital injury in patients with blunt trauma to the head and neck region, especially in the setting of periorbital ecchymosis. CT of the face should be performed to assess for fractures. Signs of globe rupture or entrapment of an extraocular muscle are indications for emergent surgical treatment. In the absence of those signs, surgery can be delayed to allow for resolution of edema. Surgical indications are primarily cosmetic. After an orbital fracture is diagnosed, the patient should be monitored with serial ophthalmologic exams to assess for cosmetic deformity, visual decline, or diplopia. The most common symptom after surgical repair of a fracture is diplopia, which often resolves with time. Overall, in the absence of emergent signs (i.e., globe rupture and entrapment), orbital trauma should be treated symptomatically with surgical intervention for cosmesis.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.