Should I Have the Surgery to Repair a Fractured Orbital Floor? (photo)

There are some findings that are potentially significant from the eye exam regarding double vision and the presence of restriction of eye movement.  However, the CT scan has become the single most important tool in deciding if one needs to have repair of the orbit fracture.  If the orbital floor is sufficiently expanded that it is more likely than not that the injured side will be more than 2 mm enophthalmic or sunken, surgery should be performed.  Regarding the timing of surgery: the earlier the better.  I suggest that you consider being assessed in a University setting by an oculoplastic surgeon.  The American society for ophthalmic plastic and reconstructive surgery maintains a geographic directory of highly qualified surgeons on their website (asoprs dot org).  If you a fortunate enough to live near a medical school with a department of ophthalmology, they most likely have an oculoplastic surgeon on staff.  It is worth your while to have an urgent consultation.  Waiting to have this repair is a bad idea.  By that time scaring makes it  very difficult to have an adequate correction.

I treat a lot of orbital floor fractures. In my opinion, if the floor fracture is fairly large, or you have enophthalmos( the eye sinks back and appears smaller) or you have entrapment( the eye does not move freely upward usually), then you need surgery.  If you delay it, the muscles contract and it is difficult to impossible to  correct the enophthalmos.  Good luck.