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Clinical Resource: Trauma

In the United States, injuries to the eyes and eye socket are unfortunately common place. Eyelid laceration, tear drain injuries, bleeding within and bruising around the eye, and fractures of the bones of the eye socket can all occur. These injuries often occur from sporting activities like baseball, soccer or football. In addition car accidents and fist fights are other common causes. Trauma to the orbit and eye area most often results in bruising followed by fractures of the orbital bone blowing out into the surrounding sinus. Since the bones of the eye socket done move like your arm or leg, they don’t all need to be fixed. Fractures causing double vision or large fractures into the sinus should typically be repaired in a timely fashion. Sometimes this is not possible but late repairs, despite being more difficult, can still be done.

Sometimes trauma is severe enough to irreparably injure the eye. Along with diseased eyes that are blind, painful and disfiguring, the removal of an eye (enucleation) is indicated when the eye can not be salvaged. Reconstruction of the eye socket to prepare it for a prosthetic eye typically leads to a very pleasing result in addition to the benefits of removing the blinded eye or diseased, painful eye. Finally, eye socket that have already had the eye removed may also experience problems and need regular examinations and further reconstruction.

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