Restore eye position, function, and facial symmetry after trauma with expert care from David Isaacs, MD, our expert dual-fellowship trained oculofacial plastic surgeon. Orbital fracture repair treats symptoms like double vision, sunken eyes, restricted eye movement, facial asymmetry, and lower eyelid malposition. Dr. Isaacs specializes in minimally invasive orbital reconstruction to achieve natural, lasting results while minimizing scarring and complications.
Restore Eye Position and
Facial Balance
Orbital fractures are breaks in the bones surrounding the eye socket, often caused by blunt trauma, sports injuries, falls, or accidents. These can affect the function and appearance of the eye and the surrounding structures. Common symptoms include swelling, bruising, double vision, restricted eye movement, numbness, and, over time, sunken eyes or malposition of the lower eyelid. Surgery is typically recommended when there is double vision, significant structural damage, eye displacement (enophthalmos), or cosmetic deformity.
Dr. David Isaacs treats both adult and pediatric orbital fractures using a highly advanced transconjunctival approach, accessing the orbit through the inside of the lower eyelid. This technique avoids external incisions, reduces the risk of visible scarring and eyelid malposition, and allows for precise reconstruction. Each repair is customized using biocompatible implants, grafts, and fixation techniques to restore both function and appearance.
Orbital Fracture Repair Treats:
- Swelling and bruising around the eye
- Double vision shortly after injury (diplopia)
- Pain or discomfort with eye movement
- Restricted eye movement or gaze limitation
- Numbness or tingling around the cheek or eye
- Persistent double vision that does not resolve
- Sunken eye appearance (enophthalmos)
- Malposition of the lower eyelid
- Eye sinking back into the socket (enophthalmos)
- Structural damage to the orbital floor
- Entrapment of tissue preventing eye movement (ocular motility restriction)
- Noticeable facial asymmetry or contour deformity
- Combined facial fractures involving the orbit
Dr. Isaacs’ Approach to Orbital
Fracture Repair
Orbital fractures require a careful, individualized approach that addresses both functional and aesthetic concerns. As a dual-fellowship trained oculofacial plastic and reconstructive surgeon, Dr. Isaacs specializes in treating even the most complex orbital trauma using advanced, minimally invasive techniques. Dr. Isaacs tailors each treatment plan to achieve a natural and lasting result while minimizing surgical risks and complications.
Non-Surgical Management
In cases of mild orbital fractures without significant displacement, Dr. Isaacs may recommend conservative, non-surgical management. This may include cold compresses to reduce swelling, pain control, oral antibiotics to prevent infection, and corticosteroids to minimize inflammation. Patients are advised to avoid blowing their nose, as this can worsen orbital emphysema. Close monitoring ensures the injury resolves appropriately without long-term issues.
Surgical Repair
When orbital fractures require surgery, Dr. Isaacs performs repair using an advanced transconjunctival approach, accessing the orbit through the inner surface of the lower eyelid. This technique avoids external skin incisions, reducing the risk of visible scars, lower eyelid retraction, and contour deformities that are more common with external methods. By working through this hidden, internal route, Dr. Isaacs can preserve the natural structure of the eyelid while achieving highly accurate and aesthetically pleasing reconstructions.
Using this meticulous method, he often reconstructs the orbital walls with custom-selected, biocompatible materials, such as Supramid, titanium, PEEK, or porous polyethylene implants. In cases of extensive damage, bone grafts may be used to restore missing bone, and fixation plates or screws provide additional stability for complex fractures. Dr. Isaacs’ precision and expertise ensure optimal outcomes, restoring proper eye position and movement while preserving natural facial harmony and minimizing complications.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon specializing in advanced orbital fracture repair for both adults and children. Known for his meticulous technique and conservative approach, Dr. Isaacs uses a transconjunctival method to restore function and facial balance without visible scarring. He dedicates ample time during your consultation to understand your concerns, evaluate your injury, and craft a personalized surgical plan. Schedule your consultation in Beverly Hills today to explore your treatment options.
