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Orbital Trauma & Eyelid Lacerations

Orbital Fractures

Orbital Fracture repair is a frequent but potentially complex surgical procedure. The indications for surgical repair of orbit and mid-face fractures include: double vision, pain on eye movement, enophthalmos (“a sinking eye”), periorbital deformity, and large fractures with significant displacement. While orbital fracture repair is often a successful operation, there are substantial risks associated with orbital surgery including continued double vision, vision loss, implant complications, and the need for further surgeries. To help you make appropriate decisions regarding your particular situation and options for management, you should discuss your condition with Dr. Paul, your primary care physician, and your eye care provider and have all of your questions and concerns addressed prior to surgical intervention.

Eyelid and tear duct lacerations

Eyelid lacerations may occur following blunt or penetrating injuries (aggravated assault, sports-related, falls, motor vehicle accidents, bites and scratches). When lacerations do not involve the eyelid margin, suture repair of the skin and occasionally the underlying orbicularis muscle may be all that is indicated. When the eyelid margin is involved then meticulous realignment of the marginal structures is necessary.

Trauma to the medial (inside corner) or lateral (outside corner) eyelid may occur if signficant horizontal traction (dog bites) occurred during the injury. Canthal repair requires specialized reconstructive techniques. Medical canthal injuries frequently are associated with canalicular (tear duct) lacerations. Canalicular repair with lacrimal stent placement may be indicated to minimize the risk of canalicular scarring and tearing following injuries to the medial aspect of the upper or lower eyelid(s).

Lacerations of the eyebrow, cheek, lip, and other areas of the face may also require repair following trauma.

Dr. Paul’s exclusive focus on facial cosmetic and reconstructive surgery make him uniquely qualified to care for patients with even the most challenging facial trauma injuries.