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Orbital Trauma 

Orbital Trauma
Chapter:
Orbital Trauma
Author(s):

Aaron R. Plitt

, Benjamin Kafka

, Tarek Y. El Ahmadieh

, and Christopher J. Madden

DOI:
10.1093/med/9780190936259.003.0013
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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.

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