Can a Blow-out Fracture of the Orbital Floor Cause Astigmatism? (photo)

I had an accident resulting in a blow-out fracture of my orbital floor. I had surgery 2 days later and a titanium plate put in. My eyesight never went back to the way it was prior to the accident, and I was recently diagnosed with astigmatism and I now need glasses. My opthamologist said that niether the injury or surgery would cause astigmatism and that I already had it and just didn't become aware of my vision imparement until after the trauma. Is he correct?

Doctor Answers 1

Astigmatism after blow-out fracture

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Not terribly likely that the injury caused the astigmatism.  But - it is very common for people in the 3rd to 4th decade to begin needing glasses correction for a pre-existing astigmatism, due to the loss of accommodation (focusing ability) which normally occurs at this age.  Frequently this is first noted after a disruptive event, like trauma.

Chicago Ophthalmologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.