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Orbital Trauma and Eyelid Lacerations

Dr. Sean Paul’s exclusive focus on facial cosmetic and reconstructive surgery make him uniquely qualified to care for patients with even the most challenging facial trauma injuries. Whether you have suffered trauma of the eyeball, eyelids, or an orbit fracture, Dr. Paul is a highly skilled ophthalmologist who will be happy to help treat the condition.  

Orbital fractures, eyelid and tear duct lacerations

Eye trauma and lacerations are very common conditions. Individuals can be hit or cut in the eye due to sports, fights, pets and children, or accidents. Dr. Paul will first examine the eyeball itself, and will then check the surrounding structures such as the eyelid and the bones around the eye. Once the condition of the areas is determined, he will treat any problems.

Orbital fractures

Orbital fracture repair is a frequent, but potentially complex, surgical procedure. The indications for surgical repair of orbit and mid-face fractures include double vision, pain on eye movement, enophthalmos (“a sinking eye”), periorbital deformity, and large fractures with significant displacement.

While orbital fracture repair is often a successful operation, there are substantial risks associated with orbital surgery including continued double vision, vision loss, implant complications, and the need for further surgeries. To help you make appropriate decisions regarding your particular situation and options for management, please discuss your condition with Dr. Paul, your primary care physician, and your eye care provider, and have all of your questions and concerns addressed prior to surgical intervention.

Eyelid and tear duct lacerations

Eyelid lacerations may occur following blunt or penetrating injuries (aggravated assault, sports-related, falls, motor vehicle accidents, bites, and scratches). When lacerations do not involve the eyelid margin, suture repair of the skin and occasionally the underlying orbicularis muscle may be all that is indicated. When the eyelid margin is involved, meticulous realignment of the marginal structures is necessary. Trauma to the medial (inside corner) or lateral (outside corner) eyelid may occur if signficant horizontal traction (dog bites) occurred during the injury.

Canthal repair requires specialized reconstructive techniques. Medical canthal injuries frequently are associated with canalicular (tear duct) lacerations. Canalicular repair with lacrimal stent placement may be indicated to minimize the risk of canalicular scarring and tearing following injuries to the medial aspect of the upper or lower eyelid(s). Lacerations of the eyebrow, cheek, lip, and other areas of the face may also require repair following trauma.

Schedule a consultation with us

If you have suffered trauma to your eye area, please contact Dr. Sean Paul at Austin Face & Body. Dr. Paul is a expert ophthalmologist who will provide the highest level of results and patient care to treat your condition. For any questions you may have, or to schedule a consultation, please call 512-559-3544 or contact us online

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