Orbital Fracture repair during COVID-19 lockdown

The COVID-19 lockdown was a period when we had stopped elective surgery and were prioritising semi-urgent surgeries and emergencies. But some surgeries can’t wait even if not life threatening. Like this girl who fell down the stairs to have an orbital (eye socket) fracture. The walls of the bony socket holding the eye were broken entrapping the eye muscles- which causes double vision and also making the eye sunken (enophthalmos). This needed early intervention- hence a semi-urgent surgery.

She also had her board exams in a couple of weeks. Considering the importance this exam as well as her need to study comfortably, her diplopia needed to be resolved as soon as possible.

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The #COVID19 lockdown was a period when we had stopped elective surgery and were prioritising semi-urgent surgeries and emergencies. But some surgeries can't wait even if not life threatening. Like this girl who fell down the stairs to have an orbital (eye socket) fracture. The walls of the bony socket holding the eye were broken entrapping the eye muscles- which causes double vision and also making the eye sunken (enophthalmos). This needed early intervention hence a semi-urgent surgery. Pic 1: Photos at presentation (above) and 6 weeks after surgery(below). Surgery was done without an external skin incision by using a trans-conjunctival approach to the fracture site. The large orbital medial and floor blowout fracture was repaired using a titanium pre-fabricated implant. Both issues of diplopia and enophthalmos was resolved. Pic 2: Pre-operative CT images with clinical correlation. The medial wall and floor fracture is clinically translated to enophthalmos seen in the left eye. The axial CT slices shows medial rectus entraped causing the diplopia. The sagittal CT slices shows the trapdoor nature of floor fracture. Pic 3 : Pre and post operative CT Scans for comparison- The titanium implant is in position sitting very nicely on the posterior ledge (palatine bone). The entrapment and volume issues caused by the orbital blowout fracture taken care of. For details of this surgery and for appointments 📠 Phone: +91 80 2502 3257 📩 E-mail:dr.raghuraj.hegde@gmail.com 🖥️ Website: www.drraghurajhegde.com ©All patient photos are being used with the express consent of the patient. These cannot be shared or reproduced elsewhere. #RaghurajHegde #EyePlastix #oculoplastic #OphthalmicPlasticSurgery #OrbitalFracture #ScarLess #TraumaSurgery #Ophthalmology

A post shared by Dr. Raghuraj Hegde (@eye_plastix.raghuraj_hegde) on

Was happy to note that her diplopia completely resolved and she was able to study and write her exams without any trouble resulting from the accident or the surgery.

Published by Dr. Raghuraj Hegde

Free thinker| Poet| Writer| Traveller| Doctor| Ophthalmic Plastic Surgeon

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