Orbit Fracture Post-Operative Instructions
Surgery to repair an orbital (eye socket) fracture is performed to restore function, protect vision, and allow proper healing of the surrounding bones and soft tissues. Careful post-operative management is essential for a smooth recovery and to reduce the risk of complications.
Please read and follow the instructions below carefully.
Wound Care
You may have visible sutures on your face following surgery. If non-resorbable sutures (typically black sutures) were placed, they are usually removed at your one-week follow-up appointment.
You may gently clean the surgical area once daily using warm water and mild soap. After cleaning, gently dab the area dry with a clean towel. Avoid scrubbing, rubbing, or applying pressure to the incision sites.
Swelling and Bruising
Swelling and bruising (“black and blue” discoloration) around the eye and face are normal after orbital surgery. These changes are temporary and expected.
Swelling typically:
-
Peaks around the second day after surgery
-
Gradually improves over the following days
If swelling continues to increase, becomes unusually hot, painful, or tender, or is associated with fever, please contact our office promptly.
Midface Numbness
Temporary numbness of the midface, cheek, upper lip, or upper teeth is common after orbital fracture repair. This usually improves gradually as the nerves recover. Notify your surgeon if numbness worsens or fails to improve over time.
Pain Control
You will be prescribed a combination of pain medications to manage post-operative discomfort. Most pain steadily improves over the first several days.
Severe pain lasting longer than seven days may indicate a complication and should be evaluated. In this situation, contact the office on the next business day or reach the oral surgery staff as instructed.
Antibiotics
Antibiotics are prescribed following surgery to reduce the risk of infection. Take all medications exactly as directed and complete the entire course unless otherwise instructed.
If you develop a rash, severe diarrhea, or signs of an allergic reaction, stop the medication and contact the office immediately.
Vision Changes or Bleeding
Temporary vision changes or mild bleeding can occur immediately after surgery and may be part of the normal recovery process.
However, if vision changes persist, worsen, or suddenly occur, or if bleeding increases, contact your doctor immediately, as these symptoms require prompt evaluation.
Follow-Up Appointments
A follow-up visit is required approximately one week after surgery. Additional appointments are typically scheduled at one-week intervals, unless adjusted on a case-by-case basis.
Keeping your follow-up appointments is essential. These visits allow your surgical team to monitor healing, detect problems early, and prevent complications that are often avoidable with routine care.
Final Notes
Healing after orbital fracture surgery is a gradual process. Swelling, bruising, and temporary numbness are expected and typically improve over time. If you have concerns at any point during recovery, do not hesitate to contact our office.
Your recovery and long-term outcome depend greatly on following post-operative instructions and attending scheduled follow-up visits.
