![]() It is useful to know the size and shape of the object, as well as the force and velocity at which the object struck the eye. Determination of the mechanism of injury helps guide suspicion for injuries to the globe, eyelids, optic nerve, and adjacent ocular adnexal structures. Once life- and sight-threatening injuries have been addressed and the patient is medically stable, the oculoplastic surgical assessment should include a thorough medical and surgical history. A comprehensive ophthalmologic examination should be performed by an ophthalmologist. Stabilization of the airway and cardiopulmonary system is of utmost importance, particularly in the polytrauma patient. Initial assessment and management are guided by the severity and nature of the patient’s injuries. After (right) after right orbital fracture surgery, enophthalmos (sunken eye) surgery with orbital floor implant, and cheek implant.An orbital floor fracture or “blowout fracture” is most often associated with midfacial trauma ranging from mild and seemingly insignificant to severe and debilitating. Before After Procedure Descriptionīefore (left) 40 year old male, with history of multiple large orbital fractures, with significant enophthalmos (sunken eye) and cheek fracture with sunken cheek. Before After Procedure Descriptionīoxer Alfredo Angulo suffered from upper eyelid/brow laceration during a boxing match. Before and 1 month after surgery photos are shown. He underwent tripod fracture repair and orbital floor fracture repair. Young male suffered left zygomatic arch and orbital blowout fracture (tripod fracture) from blunt trauma. Before and 3 months postoperative photos are shown. Young man, with severe right upper eyelid and canalicular (tear duct) laceration from motor vehicle accident, underwent eyelid laceration repair. After (right) 4 months after right orbital fracture surgery, enophthalmos (sunken eye) surgery with orbital floor implant, and cheek implant. Preop and 3 months postoperative photos are shown. Note natural results with minimal scarring. Middle age woman with multiple right eyelid lacerations underwent reconstructive eyelid laceration repair. Preop and 6 weeks postoperative photos are shown. He underwent right orbital fracture repair with implant with restoration of eye movement. Middle age man with right orbital blow out fracture from a punch with inability to move the right eye up with double vision (diplopia). Note natural appearing results with minimal scarring. She underwent eyelid, eyebrow and canalicular laceration repair. Young female teenager who suffered full-thickness left upper and lower eyelid laceration plus canalicular laceration (tear duct laceration) from surf board accident. He underwent orbital fracture surgery with implant placement (through hidden inside eyelid, conjunctiva incision stitch-less) with eye movement restored as shown in this 3 months postoperative photo (right photo). Young boy, with right orbital blow out fracture (secondary to golf ball injury) with inability to move the right eye up (left photo). (She would also benefit from filler injection on both eyes.) Before After Procedure Description Note more normal symmetric eyes after surgery. Before (left) and 3 months postoperative (right) photos are shown. She underwent reconstructive surgery with right orbital implants, which enabled the right eyeball to be brought back into more normal position. Note the right eyeball is deeper (termed enophthalmos) and lower than the normal left eyeball (termed hypoglobus). Right eye sunken eye (enophthalmos) surgery: 40 year old female, with sunken right eye (enophthalmos) from previous trauma. You can listen to her testimonial on our testimonial page Before After Procedure Description She underwent right orbital implant placement (along with sinus surgery) to restore the right eyeball position. CT scan shows severe shrinkage of the right maxillary sinus with displacement of the eyeball downward (hypoglobus). Before After Procedure Description Before After Procedure DescriptionĢ7-year-old female, has severe right sunken eye (enophthalmos) from silent sinus syndrome.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |