10 doctors weighed in:

What is the treatment for double vision when you have an orbital fracture?

10 doctors weighed in
Dr. David Astrachan
ENT - Head & Neck Surgery
4 doctors agree

In brief: Observe/operate

Following an orbital fracture there can be some temporary swelling and muscle trauma that can lead to double vision.
This swelling can lead to temporary double vision. This should resolve within a week or so. If not surgery will most likely be required.

In brief: Observe/operate

Following an orbital fracture there can be some temporary swelling and muscle trauma that can lead to double vision.
This swelling can lead to temporary double vision. This should resolve within a week or so. If not surgery will most likely be required.
Dr. David Astrachan
Dr. David Astrachan
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1 comment
Dr. Robert Knox
if you are experiencing double vision, please go see an eye doctor to have your vision checked. Double vision after an orbital fracture may require surgery.
Dr. Robert Chang
Ophthalmology
1 doctor agrees

In brief: Varies

Sometimes it's periorbital swelling (in the setting of a fracture) restricting eye movement that is causing double vision, and can improve with time.
Other times forced duction testing reveals an entrapment where the muscle or fat is prolapsed or stuck in a fracture and thus surgery is needed to fix the double vision and save the muscle from necrosis. Or a large fracture affects globe movement.

In brief: Varies

Sometimes it's periorbital swelling (in the setting of a fracture) restricting eye movement that is causing double vision, and can improve with time.
Other times forced duction testing reveals an entrapment where the muscle or fat is prolapsed or stuck in a fracture and thus surgery is needed to fix the double vision and save the muscle from necrosis. Or a large fracture affects globe movement.
Dr. Robert Chang
Dr. Robert Chang
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Dr. Rodney Diaz
ENT - Head & Neck Surgery
1 doctor agrees

In brief: Fix the fracture

Double vision probably means the fracture is large enough that it is causing orbital fat to escape through the fracture (usually down into maxillary sinus, sometimes sideways into ethmoid sinus) or is entrapping muscle, either way it needs to be fixed with surgery.
Definitely also need to see an ophthalmologist to make sure you didn't injure your globe (eyeball).

In brief: Fix the fracture

Double vision probably means the fracture is large enough that it is causing orbital fat to escape through the fracture (usually down into maxillary sinus, sometimes sideways into ethmoid sinus) or is entrapping muscle, either way it needs to be fixed with surgery.
Definitely also need to see an ophthalmologist to make sure you didn't injure your globe (eyeball).
Dr. Rodney Diaz
Dr. Rodney Diaz
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Dr. John Hoffmann
Surgery - Plastics

In brief: Depends on problem

There are several ways an orbit fracture can cause double vision.
Commonly, one of the muscles that move the eye may get trapped in the fracture. Sometimes the trauma will damage the nerves that go to the eye muscles. This is diagnosed with c/t scans and by careful examination. The treatment may involve release of the trapped muscle or other repairs.

In brief: Depends on problem

There are several ways an orbit fracture can cause double vision.
Commonly, one of the muscles that move the eye may get trapped in the fracture. Sometimes the trauma will damage the nerves that go to the eye muscles. This is diagnosed with c/t scans and by careful examination. The treatment may involve release of the trapped muscle or other repairs.
Dr. John Hoffmann
Dr. John Hoffmann
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