Orbital surgery treatment is a highly specialised field of ophthalmology. It is much less common than oculoplastic or lacrimal surgery. Various approaches have been described since surgical decompression of the orbit for thyroid ophthalmopathy was initially advocated in 1911.Orbital decompression most often involves the removal of the bones that comprise the orbit. Decompression of a lesser nature can be accomplished with the removal of extraconal and intraconal fat. This fat decompression can be combined with bone removal for more extensive decompression. Orbital fractures treatment commonly occurs by blunt, periocular trauma. Depending on the location and mechanism, intracranial, thoracic and abdominal injuries may be associated. Ophthalmologists most often get involved in pure orbital fractures with an intact orbital rim and without other facial bone fracture. The causes of orbital fractures vary, but assault is the most frequent. Other causes include motor vehicle crash, falls (especially in the elderly), sports and industrial accidents. An orbital floor fracture is a traumatic deformity of the orbital floor or medial wall, typically resulting from impact of a blunt object larger than the orbital aperture, or eye socket. There are two broad categories of blowout fractures: open door, which are large, displaced, comminute, and trapdoor, which is linear, hinged and minimally displaced. It is important to consult an experienced ophthalmologist for this treatment. Costs of this treatment depend on the number of procedures and the severity of the fracture.
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