Orbital Fracture
An orbital fracture is a break in one of the bones forming the eye socket, usually after a strong blow to the face. Most heal without surgery, but some require repair to prevent vision and cosmetic problems.
Table of Contents
Quick Facts
- ICD-10: S02.3, S02.8
- Common type: Blowout fracture (orbital floor)
Symptoms
- Bruising around the eye (black eye)
- Swelling
- Pain with eye movement
- Double vision
- Numbness of the cheek, upper lip, or upper teeth
- Sunken-appearing eye (enophthalmos)
- Nosebleeds
When to Seek Urgent Care
Seek emergency care for:
- Vision loss
- Severe eye pain
- Bleeding from the eye
- Open wound to the eye area
Diagnosis
- CT scan of the orbits
- Ophthalmologic examination
Treatment
- Many fractures heal without surgery
- Ice, head elevation, nasal decongestants
- Avoid blowing nose for 1–2 weeks
- Antibiotics if sinus involvement
- Surgery for large fractures, persistent double vision, or significant cosmetic deformity
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.
References
- American Academy of Ophthalmology. Orbital Fracture Information.