What is a common complication of orbital floor fractures?

Enophthalmos is a common complication following orbital floor fractures due to the loss of support for the globe from the bony orbit. When the floor of the orbit is compromised, it can allow the globe to retract into the orbit, resulting in a sunken appearance of the eye. This can occur particularly if there is significant displacement of the fracture fragments or if there is herniation of orbital fat or extraocular muscles into the maxillary sinus.

The presence of enophthalmos can be a significant indicator of the extent of the fracture and the need for surgical intervention. It is important to monitor such fractures closely, as enophthalmos can be both a functional and aesthetic concern, influencing decisions about treatment strategies, particularly in reconstructive surgery for orbital fractures. The assessment of enophthalmos is also critical during post-operative evaluations to ensure that any displacements or complications are addressed promptly.

While infections, paresthesia, and ocular motility restrictions can occur as complications of orbital floor fractures, enophthalmos is specifically related to the structural changes resulting from the fracture, making it a distinctive and recognized complication in this context.