A) consequence of the direct blow, causing a direct fracture. B) of the irradiation in the direction of the orbit of a cranial fracture in the context of a more extensive trauma. Fractures of the floor of the orbit (maxilla and malar), of the external wall (malar), of the internal wall (bones of the nose, ethmoid, frontal, and maxilla) and of the upper wall or orbital roof (frontal bone) may occur. There is also involvement of the extrinsic musculature of the eye, as well as the nerves responsible for its motility because of the displacement of bone fragments and muscle injury or by the entrapment of the muscle next to the orbital fat.
Treatment: In many cases orbital fractures do not require surgery, for any small orbital fracture, ice packs are recommended to the area to reduce inflammation and allow the orbit to heal on its own over time. Antibiotics and decongestants are also prescribed, and you should avoid blowing your nose for a while. An orbital fracture is more severe when it prevents the eye from moving properly, when it produces double vision or when it has displaced the eyeball into the orbit, surgery is necessary.