Orbital Fracture Surgery in Beverly Hills: When Does an Eye Socket Fracture Need Repair?
After a hard hit to your face, swelling can make it tough to see how much damage you’ve really sustained. If you notice new double vision after facial trauma, pain when you move your eye, numbness in your cheek, or your eye looks sunken, it’s time for an eye-focused exam. Having an eye socket fracture doesn’t always mean you’ll need surgery. Your vision, eye movement, and eye position all play a part in the decision.
When Should You Get an Orbital Fracture Checked?
Orbital floor fractures, sometimes called blowout fractures, can trap tissue and change how your eye moves or sits. As swelling goes down, some issues become easier to spot.
You should be evaluated after an orbital fracture after facial trauma if you notice:
- double vision, especially when looking up or down
- pain or restricted movement when you move the injured eye
- numbness across the cheek or upper lip
- an eye that looks lower or more sunken as swelling goes down
- nausea or marked pain with eye movement
If you suddenly lose vision or have severe eye pain after a facial injury, get emergency care right away. A full eye exam after midfacial trauma matters because the injury can affect both your eye and the bones around it.
Does the CT Scan Decide Whether You Need Surgery?
No. A CT scan can confirm the fracture and show where orbital tissue sits in relation to the defect, but the scan can’t diagnose clinical entrapment on its own. Your eye movement, double vision, eye position, and the rest of your exam are what guide the decision.
A 2026 systematic review of orbital blowout fracture reconstruction found that clinical findings remain the most reliable surgical indications, while common CT measurements aren’t reliable enough to guide treatment by themselves.
At our Beverly Hills practice, Dr. Kami Parsa reviews your eye exam and CT findings together before discussing options for orbital fracture repair.
When Might an Orbital Fracture Need Repair?
Some isolated orbital floor fractures get better with observation. If there’s severe entrapment, you may need urgent repair. If you have ongoing double vision that limits what you can do, or a sunken eye that bothers you, surgery may be the right choice.
Recovery timing varies from person to person. Double vision can improve over days or weeks, while a sunken eye after an orbital fracture may become more noticeable as swelling goes down. Follow-up visits help show if you’re still improving or if something needs more attention.
Why See an Oculoplastic Surgeon After Orbital Trauma?
Dr. Kami Parsa specializes exclusively in reconstructive, revisional, and cosmetic surgery of the eyelids and surrounding tissues. He completed a two-year oculoplastic and reconstructive surgery fellowship at Bascom Palmer Eye Institute.
Orbital trauma can affect how your eye works and the bones around it, so Dr. Parsa’s oculoplastic training is directly relevant when you need an evaluation.
FAQ
Can an orbital fracture heal without surgery?
Yes. Some fractures just need to be watched while swelling and eye movement improve. If you keep having double vision, entrapment, or a change in eye position that bothers you, repair may be the better option.
Why can my eye look more sunken later?
Swelling can temporarily hide enophthalmos. As it goes down, you may notice a change in your eye position more easily.
Schedule an Orbital Fracture Evaluation in Beverly Hills
If you need orbital fracture evaluation in Los Angeles after facial trauma, you can schedule a visit with Dr. Kami Parsa in Beverly Hills, California. He’ll review your exam and imaging with you and explain whether observation or orbital fracture surgery in Beverly Hills makes sense for your injury.
Medically reviewed by Kambiz K. Parsa, M.D. on
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465 N Roxbury Dr. Suite 1011
Beverly Hills, CA 90210
Phone: (310) 777 - 8880
Email: info@oculoplastic.info
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