S02.30

Clinical Causes: Sports injuries, especially during contact sports or falls Physical assaults or punches directed at the eye area Vehicle accidents causing blunt trauma Falls from a height or other accidents that impact the face Industrial or work-related injuries involving blow to the face

Key Symptoms: Pain around or behind the eye, especially with eye movement Swelling and bruising around the affected eye Double vision or blurred vision Numbness or tingling in the cheek, upper lip, or upper gum Sunken appearance of the eyeball (enophthalmos) Nasal congestion or bleeding if the fracture extends into sinuses Difficulty moving the eyeball or experiencing restricted eye movement

Diagnosis Path: Diagnosis usually begins with a detailed physical examination, including assessing eye movement, vision, and facial sensation. Imaging tests play a vital role in confirming an orbital floor fracture, with computed tomography (CT) scans being the preferred method. CT imaging provides detailed views of the bones and can identify the size and location of the fracture, as well as any associated injuries to surrounding tissues.

Treatment Protocols: Treatment options depend on the severity of the fracture and associated symptoms. Mild cases may resolve without surgery, focusing on pain management and observation. Common approaches include: - Rest and avoid activities that could worsen the injury - Cold compresses to reduce swelling - Prescription pain medications - Antibiotics if there is an associated sinus or infection concern In cases where the fracture causes significant facial deformity, impairs eye movement, or affects vision, surgical intervention may be necessary. Surgery typically involves repairing the broken orbital floor with implants or grafts to restore the anatomy and prevent further complications. Post-treatment follow-up includes monitoring for healing, infection, and restoring eye function.