Can orbital fracture lead to dry eye syndrome?

Orbital Fracture and Dry Eye Syndrome

Orbital fracture, a common type of ocular trauma, can potentially lead to dry eye syndrome, albeit with a relatively low incidence. It arises when an external force directly impacts the orbital region, disrupting the structural integrity of the orbital bones.

Causes:

After an orbital fracture, limited ocular movement may occur, hindering tear production and contributing to dry eye syndrome. Prolonged exposure to dark environments or excessive use of electronic devices such as phones and computers post-fracture can exacerbate the condition by promoting excessive tear evaporation.

Symptoms:

Symptoms of orbital fracture may include enophthalmos (eyeball sinking), decreased visual acuity, and ocular motility disorders. Dry eye syndrome manifests as redness, dryness, a foreign body sensation, and possibly burning or pain in the eyes.

Treatment:

Patients with orbital fractures should promptly seek medical attention for assessment and tailored treatment based on the severity of the condition. Mild fractures may respond to conservative management, including administering medications for blood circulation enhancement, like "Shu Jin Huo Xue Pian" under medical supervision. Severe fractures, however, necessitate surgical intervention for open reduction and internal fixation. For dry eye syndrome, artificial tears, such as sodium hyaluronate eye drops, can be prescribed for relief. Patients are advised to protect their eyes by wearing sunglasses or hats during outings and practice proper eye care by limiting screen time on electronic devices.