S02.84

Clinical Causes: Traumatic accidents such as falls or car crashes Sports injuries involving direct impact to the face Physical assaults or blows to the eye region High-impact blows from objects such as bats or clubs Work-related injuries or accidents

Key Symptoms: Pain around the eye and face Swelling and bruising in the affected area Restricted eye movement or double vision Numbness or tingling sensation in the face Sunken appearance of the eye (enophthalmos) Bleeding in the conjunctiva (conjunctival hemorrhage) Possible deformity or abnormal facial contour

Diagnosis Path: Diagnosis typically involves a combination of physical examination and imaging studies. A healthcare provider will inspect the facial bones for signs of deformity and injury. Imaging techniques such as computed tomography (CT) scans are considered the most effective for identifying fractures of the lateral orbital wall, assessing the extent of the injury, and planning treatment. The physical assessment may also evaluate eye movement and visual acuity to determine any functional impairments resulting from the fracture.

Treatment Protocols: Treatment options depend on the severity of the fracture and the associated symptoms. Minor fractures without significant displacement might be managed conservatively with observation and supportive care, including pain management and anti-inflammatory medications. More extensive fractures may require surgical intervention to repair the broken bones, restore the normal anatomy, and prevent complications. Surgery may involve the placement of plates and screws to stabilize the orbital wall. Post-treatment, patients may need follow-up to monitor healing and address any residual functional or cosmetic issues. Additionally, management of associated injuries, such as eye damage or facial fractures, is essential for comprehensive care.