The eye socket, or orbit, is made up of the bones that surround the eye. If the bones around your child’s eye are hit hard enough, they can break. This is called an orbital fracture.
If your child’s eye socket is treated successfully, and the injury to your child’s eye or tissues around the eye was not too severe, your child may not have any long-lasting effects from an eye socket fracture. If an eye socket fracture is not treated, your child may have double vision or the eye may always look sunken in.
Injuries that can cause an eye socket fracture include:
One type of eye socket fracture that may not look bad, yet can cause serious problems, is a trapdoor fracture. The bone under your child’s eye can swing down when broken and then swing shut, trapping the muscle that moves the eye down. Even if the bones do not look broken, a trapdoor fracture causes pain, severe double vision, nausea, and vomiting. This type of fracture is more common in children because their bones are more flexible than adult bones.
Symptoms may include:
Your eye care provider will ask about your child’s symptoms and your child’s injury, and do exams and tests such as:
Your healthcare provider may prescribe antibiotics to prevent infections. Your provider may also prescribe steroid pills to decrease swelling.
Some eye socket fractures need to be repaired and others do not. Your child’s fracture may need to be treated if:
If your child’s eye was injured when the eye socket was broken, your child’s eye also may need treatment.
Follow the full course of treatment your healthcare provider prescribes. Also:
Ask your healthcare provider:
Make sure you know when your child should come back for a checkup. Keep all appointments for provider visits or tests.