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  • hyphaema, diplopia, orbital fracture...HELP!!

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    Old 09-15-2006, 07:00 PM   #1
    medipatient
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    Post hyphaema, diplopia, orbital fracture...HELP!!

    Im a 18 year old male...i suffered an eye injury about a month ago
    i was told i had a traumatic hyphaema and an orbital wall fracture
    now since its a month later...the hyphaema is clearing up with no staining
    I was complainting about double vision...so my doctor said it was diplopia caused from the fracture.
    well when the injury first happened i was prescribed prednisolone tablets...prednisolone acitate (the eye drops), atropine sulfate solution (eye drop) and a nasal spray along with zantac to control the steriod (prednisolone tablets)

    I first started off wit 60 mg of prednisolone tablets then it decreased in dosage as days went along.
    i am off it now...as well as the zantac. I still take the eye drops which causes blurred vision alot and for a stange reason causes a white build up in the corner of my cornea in the mornings when waking up,

    I was told the hyphaema was barely see-able now but I still had some inflammation so I was told to continue the eye drops.
    I got evaluated by a plastic surgeon who revied my CT and told me I would need surgery for the trauma caused from the fracture because my left eye which it occured in...it had sunk in more than i gues 2 degrees or something like that. Also i had diplopia in my vision when i look up and down, so I still held off from the surgery until i hear that the inflammation and hyphaema is fully cleared up.

    Does anyone suggest surgery because I hear of alota mistakes from this type of injury when it comes to surgery. Also I've been having alot of funny side effects from the steriod such as gain of weight , mustle pain and loss of energy. I read the side effects of prednisolone after and notice it told me of these side-effects. It said if you had a hurnea before to inform your doctor but I had one as a child which was a little uncommon. Still no problem in that.

    But like I said I hear alot about surgery involving situations like this and need a little insite or recommendations such as a herb or something that'll help besides surgery but if surgery is the best choice I'd like to be informed....as a second opinion

    Last edited by medipatient; 09-15-2006 at 07:11 PM.

     
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    Old 09-16-2006, 06:36 AM   #2
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    My husband suffered the same sort of injury as you last year. He didn't have double vision or require surgery though, so I can't help there. I'd do what the plastic surgeon suggests.

    The atropine that you are still using is a dilator--that's why your vision is blurry. It's standard treatment when there is eye inflammation.

    Hope everything turns out well for you.

     
    Old 09-16-2006, 10:09 AM   #3
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    THanks alot, well the surgery takes approximately 6 moths to fully recover from. I just dont want it to get any worse than it is. I mean my vision has improved since the incident happened, because there was a time I couldn't see at all. Now since one eye is sunk in more than the other they cant focus on one object correctly from angles. I can see straight but diagonally and up and down gazes are double. Side to side varies because when you look from one side to another...it focuses from 1 eye only but up, down and corners is kinda double I'd say. Plus you can tell from just lookin at both eyes that their not evenly in tact. When I look up, things are even...but the further i look up (or down) the more I see the double vision starts to come in.

    Any more suggestions?

    Last edited by medipatient; 09-16-2006 at 10:11 AM.

     
    Old 09-18-2006, 07:00 AM   #4
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    I have no suggestions other than to follow your doctor's advice, or get a second opinion.
    What does the surgery involve? Is it to move the eyeball forward? Will it involve the fractured eye socket (which will have healed by the time of surgery)? My husband may have needed surgery on the fracture if the eye muscle had caught on it, but it healed okay.

     
    Old 09-18-2006, 02:16 PM   #5
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    Post Re: hyphaema, diplopia, orbital fracture...HELP!!

    Well I went for a follow up today, and the specialist I seen said that my hyphaema was gone away thank God. Its just some white cells floating around a little in my eye right now she said. This is like the 3rd specialist from ophthamology that seen my eye since its injury occurence......Ummm she didn't have my CT scan which was "only" reviewed by a plastic surgeon, who sent it to another plastic surgeon for evaluation. (For some reason the 1st plastic surgeon who sent it is no longer working at the hospital I get examined from....I guess it was a problem with him & someone elses surgery) So thank God I didnt get surgery from him. I honestly say when your CT are only being reviewed by a surgeon, of course their first recommendation would be surgery on his first appeal to it. He said he wanted to do surgery the 1st time he reviewed the scan which I feel all surgeons will say that to keep the bills paid but he said it was because of the amount of fractured that I suffered. On the other hand I'm just hearing that on the phone because he wasn't present last time or this time (which was today) for me to review the CT scan with him for myself so I'm kinda still having doubts about surgery because....

    Yes they do have to push my eyeball forward which I am not sure will occur in its own time of healing. I was told by the specialist that orbital fractures do heal without surgery....depending on how bad the fracture is. I think I do have a trapped muscle because when I look to my right sice its my left eye....I feel something sorta in my cornea. And my eyeball is still pushed back enough that you can tell if you look at me, but not by much. I think thats whats effecting my up & down gazes because of the alignment of my eye.

    But like I said I'm not sure if my eye will ordinarilly push back out by itself. If it does I think that would help the diplopia and I wouldn't need surgery but like the doctor said, they can't promise you anything.

    Sice Opthamologist only deal with the eye ball its very little they can tell me about the orbital fracture I guess thats why they sent me to a surgeon.

    So I was told to continue the drops. The prednisolone they limited down to 1 drop every 4 hours and I still have to take the atropine 2 to 3 times a day.

    I'm hoping that my eye can recovery for itself...Its been quite a while I've been on bed rest..(1 month) and counting but all I can do is pray & have faith in God.

     
    Old 09-19-2006, 11:08 AM   #6
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    An ophthalmologist should be able to tell if the eye muscle is being compromised by the fracture.

     
    Old 09-21-2006, 10:37 AM   #7
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    What do you mean by eye muscle "being compromised "?

    Also I meant to mention I went to see the same plastic surgeon yesterday. This time when he examined my eye he told me it was in by 200mm or 2mm now....before he told me it was in by 300mm or 3mm..something like that.

    Now, he noticed the diplopia was decreasing (such as he seen eye improvement) which shocked him somewhat.
    They also seen the atropine was affecting my eye with some rare symptom such as bumps under my top eyelid so they flushed my eyes with sterile water (which burnt alot) but feels much better and told me to stop the atropine and continue the prednisolone drops. They also said it'll take a while for the atropine to wear off (like 2 weeks).

    The thing that caught me is the measurements. I was wondering did he mis-measure before or....as the eye muscle strengthens, will the eye come out more. I know theres little you can say about it.....
    It's just a comment though...

    Last edited by medipatient; 09-21-2006 at 10:50 AM.

     
    Old 09-22-2006, 06:45 AM   #8
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    That's good news that the eye seems to be coming back out and the double vision is improving.
    What I meant was...if the eye muscle is catching on a bit of bone, or being restricted, or pinched, etc. Don't know how smoothly the eye socket healed.
    Hope your eye continues to get better.

     
    Old 09-22-2006, 01:46 PM   #9
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    Question Re: hyphaema, diplopia, orbital fracture...HELP!!

    Well funny thing is when the eye is pushed back it's called....
    enophthalmos - (Recession of the eyeball within the orbit.)

    Plastic surgeon said the eye'll heal but the enophthalmos is permanent...thats the thing...
    If its permanent funny how the measurements was different this time.
    He says later will require cosmetic surgery...thats just incase you don't like how it's looing....in general.

    Well guess I'll just wait til my next appointment with the ophthamologist.
    Just that the mobility...since it's the left eye feels kind'a harsh when I look to my right. Something the muscle feel like its hitting or pulling.
    I think it'll heal in time though.

     
    Old 09-23-2006, 08:09 AM   #10
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    Since there doesn't seem to be any rush for the surgery, it can't hurt to wait and see.
    How did you injure your eye? My husband fell off the roof. Well, not exactly...the ladder slipped out on the way down.

     
    Old 09-23-2006, 10:09 AM   #11
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    Wow, that kinda seems like a worst impact than mines, its good to hear he recovered ok.
    I was assulted by like 4...or 5 guys.
    Can't really tell what it was that hit my eye, but by the damage I beleive it was a rock..plus a fist, so it was kind'a 2 impacts.
    No other injury thank God but thats how it went.

     
    Old 09-24-2006, 06:51 AM   #12
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    What a shame.

     
    Old 04-06-2007, 02:29 PM   #13
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    I too fractured my orbital bone in two places. I had the surgery within a couple weeks. I had double vision for about a month and a half. One morning I woke up and it was gone! well, in my forward gaze. Still, 2 years later I have double vision when I look far down and far up-left. My eye is a little sunken in, not too noticable by other people but of course I notice it. Anyway my surgeon was Dr. Paul Langer from UMDNJ in Newark, NJ. He is an orbital specialist. I HIGHLY recommend him. I know you posted this a while ago so hopefully everything turned out okay, if not I would contact him if possible.

     
    Old 04-07-2007, 04:02 PM   #14
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    Re: hyphaema, diplopia, orbital fracture...HELP!!

    I never went forth with the surgery actually because te doctor I am seeing now says that if I do go with it then I'd still have double vision and they say that they'll have to do 2 different surgeries & he told me about the possibility of the negative oucomes but it all seems risky to me
    Im just upset about the run arounds I've been getting since this happened

     
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