Eyelid and Orbital Reconstruction

The most severe situation is the presence of an ocular rupture or perforation, since the disruption of the ocular walls poses a high risk of vision loss and even the viability of the eyeball if not treated urgently through surgery.

Sometimes, the disruption of the ocular structures is so severe that it results in the loss of the eyeball. In such cases, treatment focuses on the patient’s aesthetic rehabilitation through the implantation of orbital prostheses that very accurately mimic the healthy eye.

The eyelids can also sustain significant damage in accidents or trauma. The most common are simple lacerations, which generally require straightforward surgical treatment. Sometimes the tear ducts are severed and must be reconstructed. More complex eyelid trauma, involving tissue loss, can be more difficult to treat, as the traumatic injury itself is compounded by an intense scarring reaction.

In the vast majority of cases, an acceptable recovery—both functional and aesthetic—can be achieved through the use of advanced eyelid surgery techniques.

In the orbits, high-energy impacts often cause fractures that most frequently affect the orbital floor and the inner wall. In many cases, these need to be repaired, as they displace the orbital contents into the paranasal sinuses and cause enophthalmos. They can also result in double vision if the ocular muscles become trapped in the fracture.