Orbital Floor Fracture Without Entrapment

What is Orbital Floor Fracture Without Entrapment

The orbit, also called the eye socket, is a bony structure that protects the eye. The bottom of the orbit is called the orbital floor. It separates the eye from a sinus. An orbital floor fracture is a break in the orbital floor.

What are the causes?

This condition is caused by a hit to the eye.

What are the signs or symptoms?

Symptoms of this condition include:

  • A black eye.
  • Pain around the eye.
  • Numbness in your cheek and upper gum.
  • A headache.
  • Ear pain.

How is this diagnosed?

This condition is diagnosed with an eye exam and an X-ray or CT scan.

How is this treated?

Usually, treatment is not needed for this condition. In almost all cases, the broken bone heals on its own.

Follow these instructions at home:

  • Take over-the-counter and prescription medicines only as told by your health care provider.
  • If directed, apply ice to the injured area:
    • Put ice in a plastic bag.
    • Place a towel between your skin and the bag.
    • Leave the ice on for 20 minutes, 2–3 times a day.
  • Do not put a contact lens in the injured eye until your health care provider says it is okay.
  • Do not blow your nose until your eye has healed.
  • Do not drive or perform your regular activities without your health care provider’s approval. Be aware that if you are only using one eye to see, you may have difficulty with depth perception and the ability to judge distance.
  • Stay away from dusty areas.
  • Avoid traveling by plane or going to high-altitude areas. This may slow the healing of your swelling and may increase sinus pain.
  • Always follow recommendations about wearing protective glasses or goggles.

Contact a health care provider if:

  • Your vision changes.
  • You see two of a single object (double vision).
  • You feel pain when you move your eyes.
  • The redness or swelling around the injured eye does not go away or gets worse.
  • Blood or discolored discharge comes from your nose.
  • You have a fever.

Get help right away if:

  • You have a sensation that you are seeing flashing lights.
  • You have sudden blindness.
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