---
title: Orbital fractures
description: "Orbital fractures are breaks in the bones surrounding the eye, usually after blunt trauma. They can affect eye movement, appearance, and sometimes vision. ## Types and symptoms Common patterns include \"blow-out\" fractures of the orbital floor or medial wall. -…"
url: "https://bluefinvision.com/knowledge-base/topics/conditions-diseases/orbital-fractures/"
updated: "2025-12-16"
category: "Conditions & Diseases"
---

# Orbital fractures

Orbital fractures are breaks in the bones surrounding the eye, usually after blunt trauma. They can affect eye movement, appearance, and sometimes vision.

## Types and symptoms

Common patterns include "blow-out" fractures of the orbital floor or medial wall.

- Pain, bruising, and swelling around the eye after injury
- Double vision, restricted eye movement, or a sunken eye enophthalmos
- Numbness of the cheek or upper lip from infraorbital nerve involvement
- CT imaging defines fracture size, location, and muscle entrapment

## Treatment

Management depends on severity and symptoms.

- Observation for small, non-displacing fractures without double vision
- Surgical repair when there is muscle entrapment, significant enophthalmos, or persistent diplopia
- Avoidance of nose blowing and treatment of associated sinus issues
- Regular follow-up with ophthalmology and maxillofacial or oculoplastic teams