Orbital trauma with eyeball injuries; diagnostic strategy and combine surgical-prosthetic reconstructive treatment

The timing for the treatment of orbital fracture addresses to the immediate reduction and fixation whenever possible. Sometimes treatment can be delayed because of patient general conditions or associated other injuries. In these cases bone consolidation occurs in the wrong position. As a consequence both aesthetic and functional impaired healing can occur. The most common complaint in patients presenting this pathologic healing is the alteration of the visual field consisting in strabismus, diplopia. On the aesthetic side, we can observe orbital dystopia both on the frontal plane and sagittal plane. Enophtalmus or exophtalmus are very frequent clinical features of these patients. When direct injuries to the eyeball occur these can be responsible for impairment of view or eyeball size and fatally loss. The most common complaint in patients presenting this pathologic healing is the alteration of the visual field consisting in strabismus, diplopia. On the aesthetic side, we can observe orbital distopia both on the frontal plane and sagittal plane. Enophtalmus or exophtalmus are very frequent clinical features of these patients.