Repairing the thin bone of the socket after an injury, usually with a small implant that supports the eye.
What it is
A blow to the eye can break the thin floor or wall of the socket. Tissue can drop through the gap, which causes double vision or makes the eye sit further back.
The operation
Through a cut inside the lower lid, the trapped tissue is freed and the gap covered with a thin implant.
It takes one to two hours under general anaesthetic, usually with one night in hospital.
What it does not do
Not every fracture needs repair. Small ones with no double vision are often watched instead.
Who it can help
It may suit you if repairs the thin bone around the eye after an injury is what you notice most, and you are otherwise well.
- Double vision after an injury
- An eye that sits further back or lower than the other
- Numbness of the cheek, lip or gum
- A fracture seen on a scan
Repairs are usually done within about two weeks of the injury, once swelling has settled.
Recovery and risks
This is bigger surgery, and recovery takes longer. Your consultant will explain what to expect in your case.
The first two days
You stay in hospital overnight so the team can check the eye. Swelling and bruising are marked.
The first two weeks
Swelling settles slowly. Avoid blowing your nose, bending and heavy lifting.
Weeks two to six
Bruising fades and vision settles. Double vision, if you have it, usually improves.
Three to six months
The socket has settled. Any further treatment is planned at this point.
Possible risks
Every operation carries some risk. For broken eye socket repair these include:
- Bruising and swelling that take a few weeks to settle
- Numbness of the cheek or forehead
- Double vision, which is usually temporary
- Bleeding or infection, which are uncommon
- Very rarely, a change in vision
Your surgeon will go through the risks that apply to you, and give you written information to take home.
Insurance
Broken eye socket repair is sometimes covered when the problem affects your health or your vision. Surgery for appearance alone is not.
Check your cover with your insurer before your consultation, and your surgeon will supply what they need.
Questions patients ask
Will my double vision go?
It often improves over weeks as swelling and bruising settle. Some people need a squint operation later.
Do not blow your nose?
Correct. After an orbital fracture, avoid blowing your nose until your surgeon says it is safe.
Is the implant permanent?
Yes, it stays in place and is not felt.
Is it covered?
Usually yes. This is medical treatment after an injury.