Orbital fracture repair. Does this need correction? (Photo)

Question

I suspect that I sustained an orbital fracture after an accidental traumatic blow to the face from a hard object that caused a white out loss of vision. Following injury, swelling and bruising were immediate. At a little over 2 weeks of injury, a facial CT revealed no significant soft tissue injury or acute fracture, however I am still have considerable swelling and bruising in that area, as well as the eye itself physically looking larger over 1 month later Does this need correction?

Brian K. Machida, MD, FACS · Answer

Your negative facial CT is important in your evaluation and tends to cause less need for immediate action.  If you are complaining of persistent swelling, it's best to be followed by a specialist who is able to examine the areas physically and have a one-to-one interaction with you and your symptoms.  The need for any corrective action at this point will be based on physical examination and symptoms, given your lack of CT findings.

Eric Maiorino, MD · Answer

If you had an orbital fracture the concern would not be enlarging appearance of the eye but the opposite, with the eye looking sunken in. At 2 weeks from injury, the CT scan would have seen any fractures large enough to create a discrepancy in orbital volume. I suspect you just still have edema or swelling of the periorbital fat and soft tissues but if this continues to persist or you have visual changes/disturbances then you should see an ophthalmologist to be evaluated.

Orbital fracture repair. Does this need correction? (Photo)

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Orbital fracture repair. Does this need correction? (Photo)

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