Serving India since 1919
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Shroff Eye Hospital

Shroff Eye Hospital is India's First Eye Hospital accredited by the Joint Commission International (USA) since 2006. Shroff Eye is also India's first and only Wavelight Concerto 500 Hz LASIK center. Shroff Eye has stood for excellence in eye care since 1919. A firm commitment to quality is at the heart of all services provided at our centers at Bandra(W) and Marine Drive, Mumbai.

TRAUMA

It is not uncommon for the eyes and surrounding structures to be affected/hurt in an accident. This can range from a small cut by a sharp object to severe injury including fracture of the orbital walls.

Who do I need to see in case of injury to the face and eyes?

Due to the delicate and compact nature of the structures even seemingly trivial injuries may have serious implications, which may be missed/ overlooked at times, if not closely examined by the trained eye of an Oculoplastic specialist. Due to her expertise, Dr Sneha Shah will be able to work towards the best possible functional and aesthetic correction. At times a multispecialty approach is the best, and if needed Dr Sneha Shah will also involve specialists from other fields such as ENT, Maxillofacial surgery or neurosurgery.

How can the eye be affected in injury?

The injuries may include:

  • Injury to the eyeball
  • Eyelid laceration (cut on the eyelid)- commonly caused by the bite of a pet or motor vehicle accident. Depending on the depth and extent of the injury, it may need to be taped, glued or sutured. Inadequate or inappropriate treatment can lead to eyelid function being affected, leaving the eye permanently open or closed or feeling gritty or watery. Sometimes it can leave an unsightly scar on the face.
  • Injury to the naso lacrimal / tear drainage system- Any part of the tear drainage system may be involved in the injury. Punctum and canaliculi- commonly affected in chemical injuries and superficial trauma. Lacrimal sac and nasolacrimal duct- usually a part of more complex facial trauma. The symptoms include watering, stickiness or discharge from the eye
  •  Orbital fractures- although the orbital rim is quite sturdy, the walls of the orbit are thin and amenable to fracture during trauma to the face. This is commonly seen when someone is boxed in the face with a fist or sports injury with a ball. If there is any suspicion of bony injury, In-depth knowledge of the eyelid anatomy and careful examination helps the Oculoplastic surgeon discuss the options for the best possible outcome.

Some tips during injury:

  • DO NOT Blow your nose. Avoid sneezing and coughing
  • Apply ice packs if possible.
  • Seek medical attention at the earliest.

How will the doctor know if I have an Orbital fracture? Diagnosis.

There will be suspicion in presence of black eye, double vision (Diplopia), loss of sensation around the eye, eye looking smaller/ further behind (enophthalmos), emphysema, reduction of vision and rarely loss of eye. Based on the history and clinical examination, if Dr Sneha Shah suspects an Orbital fracture, she will request for a CT scan of the Orbits.

How are Orbital fractures treated?

Treatment is directed at saving the eye, the vision, and correcting any consequent cosmetic blemish. Most orbital fractures only need the watchful eye of an experienced Oculoplastic surgeon. Sometimes surgical correction is warranted and is usually performed under general anesthesia.

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