I plan to go see a surgeon soon but im wondering if my insurance will pay for me to have my medial blowout fracture fixed. I chose not to have surgery a few years ago bc the dr I saw said that once the swelling went down everything would look "normal" well almost 3 years later it doesn't look normal. I have a sunken eye and I HATE the way I look. I really want it fixed but I'm not sure if its necessary since I have ok vision. Which bones are broke in a medial blowout? Whats the risk? Thanks!
Answer: Surgery for orbital blowout fracture Thank you for sharing your questioning concerns. It is quite possible that over the past 3 years since your trauma that the eye may have "sunken" a bit. At this point, I would recommend consulting with a board–certified oculoplastic surgeon or ophthalmologist to discuss your options. A thorough physical examination, which would include an ophthalmological examination, visual fields, retinal exam, among other tests, would be indicated prior to making any assessments about whether surgery would or would not be indicated. Good luck and thanks afain for sharing!
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Answer: Surgery for orbital blowout fracture Thank you for sharing your questioning concerns. It is quite possible that over the past 3 years since your trauma that the eye may have "sunken" a bit. At this point, I would recommend consulting with a board–certified oculoplastic surgeon or ophthalmologist to discuss your options. A thorough physical examination, which would include an ophthalmological examination, visual fields, retinal exam, among other tests, would be indicated prior to making any assessments about whether surgery would or would not be indicated. Good luck and thanks afain for sharing!
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Answer: Should When you have a fracture of the bony orbit, it can change the position of the orbital contents once the swelling goes down. This can change the position of your eye. Most commercial insurances cover repair of orbital fractures. This can easily be checked by doing a predetermination before any surgery.
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Answer: Should When you have a fracture of the bony orbit, it can change the position of the orbital contents once the swelling goes down. This can change the position of your eye. Most commercial insurances cover repair of orbital fractures. This can easily be checked by doing a predetermination before any surgery.
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September 24, 2015
Answer: Enopthalmos After a blow out fracture the orbital contents (eye ball and fat) can sink into the cone of bone which makes up the orbit. This can be due to an enlarged cone (because of the fracture) or fat loss around the eye ball). The structures retract and pull the eye ball in. This is called enopthalmus and is extremely difficult to correct surgically as you must release and put traction on the shrunken tissues, including the optic nerve, before correcting the defect. Very few, highly trained craniofacial surgeons are qualified to even discuss this issue with you. Be very careful about who you see for this significant problem.
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September 24, 2015
Answer: Enopthalmos After a blow out fracture the orbital contents (eye ball and fat) can sink into the cone of bone which makes up the orbit. This can be due to an enlarged cone (because of the fracture) or fat loss around the eye ball). The structures retract and pull the eye ball in. This is called enopthalmus and is extremely difficult to correct surgically as you must release and put traction on the shrunken tissues, including the optic nerve, before correcting the defect. Very few, highly trained craniofacial surgeons are qualified to even discuss this issue with you. Be very careful about who you see for this significant problem.
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September 22, 2015
Answer: Long-term Enophthalmus Who knows about insurance anymore, I guess they SHOULD pay for it. What makes you think it is a medial (ethmoid) fracture? If you have significant enopthalmus( greater than 5mm of ocular displacement) and the globe must be released and brought up and forward, gaining symmetry can be an extremely difficult endeavor. There are highly reputable craniofacial surgeons who opine that fixing a chronic enopthalmus is impossible. This sounds more difficult than stuffing some plastic into your orbit so I would see a plastic surgeon with craniofacial experience. If it is not fully corrected with some kind of implant done by a oculoplastic surgeon, it then will be truly a nightmare to fix.
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September 22, 2015
Answer: Long-term Enophthalmus Who knows about insurance anymore, I guess they SHOULD pay for it. What makes you think it is a medial (ethmoid) fracture? If you have significant enopthalmus( greater than 5mm of ocular displacement) and the globe must be released and brought up and forward, gaining symmetry can be an extremely difficult endeavor. There are highly reputable craniofacial surgeons who opine that fixing a chronic enopthalmus is impossible. This sounds more difficult than stuffing some plastic into your orbit so I would see a plastic surgeon with craniofacial experience. If it is not fully corrected with some kind of implant done by a oculoplastic surgeon, it then will be truly a nightmare to fix.
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September 22, 2015
Answer: Orbital Fracture Thank you for your question. Your insurance company should cover a fracture after a trauma. You should consult with a oculoplastic/plastic surgeon who is comfortable with orbital trauma in your area. They will be able to submit the appropriate codes to the insurance company for a pre-authorization to determine coverage. The surgery will involve an incision on the inside of your eyelid and placement of an implant along the orbital floor to support the eye. Goo luck.
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September 22, 2015
Answer: Orbital Fracture Thank you for your question. Your insurance company should cover a fracture after a trauma. You should consult with a oculoplastic/plastic surgeon who is comfortable with orbital trauma in your area. They will be able to submit the appropriate codes to the insurance company for a pre-authorization to determine coverage. The surgery will involve an incision on the inside of your eyelid and placement of an implant along the orbital floor to support the eye. Goo luck.
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