What is the reason for double vision following an accident?

Question

Hi doctor,

My daughter is 16 years old. She met with an accident and got an injury on her face. It was operated by a maxillofacial surgeon. The upper portion of the right eye is red. She can open her eye, but she is having double vision. What to do?

Kindly advise.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Redness could be due to subconjunctival hemorrhage. It usually resolves without treatment. Diplopia could be due to nerve palsy. In this case, we usually observe the patient for six months for spontaneous recovery. Another less common cause could be muscle entrapment in fractured bone. As she was operated on by a maxillofacial surgeon, the chances for muscle entrapment are less. Having said that, it would be better if you could send her medical records and her eye photos.

These will help me guide you better.

If you have more questions, please feel free to ask.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Actually, this is a case of blunt trauma. In blunt trauma, any part of the eye may be affected. A common non-serious issue causing pain is traumatic uveitis, which can be easily treated with a mild steroid eye drop. I would request that you have a complete, comprehensive eye check-up at your place.

I hope this explanation helps.

If you have more questions, please feel free to ask.

Thank you.