Oculo-cardiac Reflex: Stretch receptors in ophthalmic nerve are activated in response to pressure in the ocular and periorbital soft tissue leading to stimulation of a vagal response (Dunville & Kramer, 2018).Significant force applied to the nasal bridge can result in naso-orbito-ethmoid fractures that are often accompanied by injury to the lacrimal duct, dural tears, and traumatic brain injury.Fractures of other portions of the orbit and fractures of the orbital ridge result from high energy impacts and are frequently associated with other fractures or injuries.Intraorbital contents herniate through fracture, then fracture returns to original position causing entrapment.More common in children due to soft bone.Associated with higher risk of ocular injury compared to Impure fractures.Occurs when small object strikes globe directly, without causing orbital ridge or rim fracture.Force is transmitted through globe and results in fracture of the fragile inferior or medial orbital walls.Any fracture of inferior or medial walls.Schwarcz is an oculoplastic cosmetic surgeon who is an American Board of Cosmetic Surgery diplomat and board certified by the ASOPRS as well as the American Academy of Ophthalmology. Oculoplastic surgeons who are members of the American Society of Ophthalmic Plastic and Reconstructive Surgery are board-certified ophthalmologists who must complete a cosmetic and reconstructive surgery fellowship to receive training on treating issues that involve the eyelids, lacrimal system, orbits and nearby structures. Since the orbit and eyelid are complex structures, oculoplastic surgeons undergo specialized training to learn the nuances of eyelid and orbital treatments. Select a Certified Oculofacial Plastic Surgeon Schwarcz’s New York office 1 week after the surgery. This outpatient procedure takes approximately 1 hour for the surgeon to complete, and the patient will have a follow-up appointment at Dr. Schwarcz performs this surgery while the patient is under general anesthesia. For example, a sunken eye may appear or become more severe over time therefore, the patient will need enophthalmos surgery or a filler injection to improve the appearance of the sunken eye.ĭue to the small incisions that remain hidden inside of the eyelids, patients tend to recover quickly from orbital fracture surgery. In some cases, the surgeon may be unable to repair the site immediately. To prevent scarring and increase the procedure’s success rate, an orbital blowout fracture should be repaired no later than 2 weeks after the trauma occurred. Surgical Repair of an Orbital Blowout Fracture While some orbital fractures do not require surgery, large fractures or fractures that cause enophthalmos or diplopia do necessitate a surgical procedure. Often, the fracture occurs in the orbital floor or medial wall. The fragile nature of the orbital bones and adjacent sinuses make it highly likely for eye and orbit trauma to result in an orbital blowout fracture. Robert Schwarcz will examine the patient’s face and eyes and assess the patient’s orbital CT scan results to determine the injury’s severity. During the consultation, New York oculoplastic surgeon Dr. An oculoplastic surgeon will examine and treat the eyeball in addition to the socket as the eyeball is an injury-prone area. Blunt force trauma and sharp force trauma due to assaults, athletic activities and falls can lead to canalicular lacerations, eyelid lacerations, orbital fractures and orbital hemorrhages. Injuries to the eye socket and surrounding eye structures are a common occurrence.
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