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What Is a Blowout Fracture?

A blowout fracture is a break in one or more of the thin bones that form the eye socket, usually caused by blunt trauma to the face. The impact forces pressure into the orbit, causing the bones, most often the orbital floor, to crack. This type of injury can trap muscles or tissue inside the fracture, which affects eye movement. It often leads to pain, swelling, and double vision.

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What Is a Blowout Fracture?

A blowout fracture is a break in one or more of the thin bones that form the eye socket, usually caused by blunt trauma to the face. The impact forces pressure into the orbit, causing the bones, most often the orbital floor, to crack. This type of injury can trap muscles or tissue inside the fracture, which affects eye movement. It often leads to pain, swelling, and double vision.

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How Does a Blowout Fracture Occur?

A blowout fracture typically happens after a strong impact from a ball, fist, or accident that strikes the eye area. The sudden force pushes the eye backward, increasing pressure inside the socket. The fragile orbital bones then give way, allowing soft tissue to herniate through the opening. This can restrict movement and cause visible bruising around the eye.

What Causes a Blowout Fracture?

Sports injuries, physical altercations, and car accidents are the most common causes. Falls or workplace accidents can also lead to orbital trauma. People involved in contact sports like basketball, baseball, or boxing are especially at risk. Wearing protective gear helps reduce the risk of this injury.

What Are the Symptoms of a Blowout Fracture?

Symptoms include pain, swelling, and bruising around the eye, along with double vision or restricted movement. Some people notice the eye appears sunken or that one side of the face feels numb. Redness and tearing are also common. Severe cases can cause bleeding inside the eye or sudden changes in vision.

How Is a Blowout Fracture Treated?

  • Minor fractures without muscle entrapment often heal with rest and cold compresses.
  • Antibiotics or pain relief medication help manage inflammation and discomfort.
  • Severe fractures that trap tissue or affect vision might require surgical repair.
  • Using protective eyewear during recovery helps prevent additional injury.

When to Seek Medical Help

Any eye injury followed by swelling, double vision, or difficulty moving the eye requires immediate medical attention. Quick evaluation helps prevent complications such as muscle entrapment, persistent double vision, or long-term eye misalignment. Early treatment supports proper healing and better eye function. Avoid nose blowing after the injury to reduce pressure on the damaged area. Prompt care improves the chances of full recovery.

Frequently Asked Questions

Why do some people get a numb cheek after a blowout fracture?

Numbness can happen when the infraorbital nerve is bruised or compressed near the orbital floor. This can affect sensation in the cheek, upper lip, or upper teeth. Feeling often improves as swelling settles, but recovery can take weeks. Persistent numbness should be followed up since it can signal ongoing nerve compression.

Can a blowout fracture affect how the eye looks?

Yes, the eye can look sunken if tissue shifts into the fracture space. Some people also notice swelling that makes the eye look uneven early on. As bruising resolves, changes in eye position can become more noticeable. An eye specialist can check alignment and decide if repair is needed.

Why is nose blowing discouraged after this injury?

Nose blowing can push air from the sinuses into the tissues around the eye through the fracture opening. That can cause sudden swelling and crackling under the skin. It can also raise pressure in the area and worsen discomfort. Doctors often recommend avoiding it during early healing.

How soon can someone go back to sports after a blowout fracture?

Return timing depends on fracture severity, symptoms, and whether surgery was needed. Minor fractures may need weeks of rest, while repaired fractures can require longer protection. Returning too soon raises the chance of re-injury and long-term alignment problems. A doctor should clear the person before resuming contact sports.

References

1. Digital Eye Strain. American Academy of Ophthalmology. https://www.aao.org/eye-health/tips-prevention/computer-vision-syndrome. Accessed January 15, 2026.

2. Dry Eye. National Eye Institute. https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/dry-eye. Accessed January 15, 2026.

3. Blink Rate and Incomplete Blinking During Visual Display Terminal Use. PubMed. https://pubmed.ncbi.nlm.nih.gov/?term=blink+rate+incomplete+blinking+screen+use. Accessed January 15, 2026.

4. Computer Vision Syndrome. American Optometric Association. https://www.aoa.org/healthy-eyes/eye-and-vision-conditions/computer-vision-syndrome. Accessed January 15, 2026.

5. Dry Eye Disease. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/dry-eye-syndrome/symptoms-causes/syc-20371863. Accessed January 15, 2026.

6. Blepharospasm. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/health-information/disorders/blepharospasm. Accessed January 15, 2026.