An orbital fracture is a break in one or more of the bones surrounding the eye, typically caused by blunt trauma to the face. The orbit—the bony structure that houses the eye—plays a critical role in protecting the eyeball, supporting eye movement, and maintaining facial symmetry. When a fracture occurs, it can affect vision, eye position, eyelid function, and facial appearance. Early evaluation and expert care are often necessary to ensure the best possible outcome and to prevent long-term complications.
At California Eye & Face in Fresno, orbital fractures are treated by Dr. Atif Collins, a board-certified oculofacial plastic and reconstructive surgeon. Dr. Collins is one of only 700 surgeons in the United States certified by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), a distinction that reflects his exceptional qualifications and commitment to excellence. He is also board-certified with advanced cosmetic surgery training, and is uniquely qualified to manage both the functional and cosmetic aspects of orbital trauma. Patients throughout the San Joaquin Central Valley trust his advanced surgical training and individualized approach to recovery.
What Causes an Orbital Fracture?
Orbital fractures often result from sudden impact to the face. Common causes include:
- Sports injuries
- Car accidents
- Falls
- Physical assault
- Occupational trauma
The orbital floor and medial wall are the most frequently affected areas. In some cases, surrounding facial bones are also involved, increasing the complexity of the injury.
Signs and Symptoms of an Orbital Fracture
Depending on the severity and location of the fracture, symptoms may include:
- Swelling and bruising around the eye
- Double vision (diplopia)
- Pain with eye movement
- A sunken appearance of the eye (enophthalmos)
- Numbness in the cheek or upper lip
- Difficulty moving the eye
- Bleeding or pressure behind the eye
Prompt evaluation is critical, as untreated orbital injuries can lead to long-term vision problems or facial asymmetry.
Diagnostic Evaluation
To confirm the presence and extent of a fracture, Dr. Collins performs a detailed clinical examination along with imaging studies such as a CT scan. These tools provide a clear view of the bony orbit and surrounding tissues, allowing for accurate diagnosis and treatment planning.
Not every fracture requires surgery, but precise imaging helps determine whether intervention is necessary.
When Is Surgery Recommended?
Surgical repair may be needed when:
- The fracture causes significant eye displacement
- Eye movement is restricted due to muscle entrapment
- The fracture threatens structural support of the orbit
- Double vision persists beyond initial swelling
- Cosmetic concerns affect facial appearance or balance
Dr. Collins uses precise techniques to reposition bone structures and, when necessary, place implants to support the orbit and restore symmetry.
Why Choose California Eye & Face for Orbital Fracture Repair?
Dr. Atif Collins is a fellowship-trained oculofacial plastic and reconstructive surgeon with specialized experience in orbital trauma. His education includes advanced training at The Ohio State University, Nationwide Children’s Hospital, and The James Cancer Center. As the only ASOPRS-certified surgeon in the Fresno area, he provides highly specialized care for both simple and complex fractures.
The practice is supported by Certified Physician Assistant Rebecca Solomon, who assists in patient care and post-operative management. Together, the team ensures compassionate, skillful treatment in a professional setting that prioritizes long-term outcomes and facial harmony.
Get Expert Treatment for Orbital Fracture in Fresno, CA
If you have suffered facial trauma and suspect an orbital fracture, don’t delay expert care. Contact California Eye & Face in Fresno, CA, at (559) 449-5054 to schedule your consultation and receive trusted treatment across the San Joaquin Central Valley.