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Orbital floor repair is surgery to treat a fracture in the bone beneath the eye. The surgeon frees trapped tissue when present and restores support under the eyeball. Repair may use an implant or graft to cover the bony defect.
read more about orbital floor repair ...Some orbital floor fractures heal without an operation. Surgery may be considered for persistent double vision, trapped eye muscles or tissue, or a noticeably sunken eye. The decision follows an eye examination and imaging of the fracture.
The surgeon reaches the fracture through an incision near or inside the lower eyelid. Displaced tissue is moved out of the defect. An implant or graft may then support the orbital floor if the gap requires it.
Swelling and bruising around the eye are common after surgery. Follow-up visits assess vision, eye movement, and healing. Patients may be told to avoid blowing the nose while the area recovers.
Possible complications include bleeding, infection, and continued double vision. The implant can shift or cause other problems. Loss of vision is rare but serious.
No. Treatment depends on symptoms, eye movement, eye position, and the extent of the fracture.
No. The operation addresses the supporting bone and nearby tissue beneath the eye.
No. The need for an implant or graft depends on the size and shape of the defect.
Double vision can improve, but recovery is not guaranteed. Its cause and the condition of the eye muscles affect the result.
Complications Following Orbital Floor Repair: Impact of Intraoperative Computed Tomography Scan and Implant Material. PubMed. https://pubmed.ncbi.nlm.nih.gov/32407138/. Date Accessed September 30, 2026.
Orbital Floor Fracture. StatPearls (NCBI Bookshelf). https://www.ncbi.nlm.nih.gov/books/NBK534825/. Date Accessed September 30, 2026.
Orbital Floor Fractures. EyeWiki (American Academy of Ophthalmology). https://eyewiki.org/Orbital_Floor_Fractures. Date Accessed September 30, 2026.
Surgical Approach to Orbital Floor Fractures: Comparing Complication Rates Between Subciliary and Subconjunctival Approaches. PubMed Central (PMC). https://pmc.ncbi.nlm.nih.gov/articles/PMC7311850/. Date Accessed September 30, 2026.
Surgical Treatment of Orbital Blowout Fractures: Complications and Postoperative Care Patterns. PubMed Central (PMC). https://pmc.ncbi.nlm.nih.gov/articles/PMC5101114/. Date Accessed September 30, 2026.