HomeAnswersOphthalmology (Eye Care)orbital floor fractureI suffered an orbital blowout fracture. Should I get surgery or wait?

Is surgery advised in an orbital blowout fracture if no diplopia is present?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At July 13, 2022
Reviewed AtAugust 10, 2023

Patient's Query

Hello doctor,

I am looking to inquire about an orbital blowout fracture that occurred three months ago. Two surgeons suggested surgery. One said to wait and see. I am demonstrating 1.5 millimeters enophthalmos (non-noticeable), no diplopia, and no other issues.

Answered by Dr. Vaibhev Mittal

Hello,

Welcome to icliniq.com.

In medical science, it is common to have a different opinion about a medical issue, and in most cases, both opinions are fine. In your case, trauma occurred around three months back, and now there is no diplopia, no abnormal head posture, and no significant issue bothering you. In this situation, I would choose a conservative approach and would like to observe. Surgery is mostly indicated if there is significant enophthalmos or diplopia.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vaibhev Mittal
Dr. Vaibhev Mittal

Ophthalmology (Eye Care)

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