ORBITAL FRACTURE
When one or more bones surrounding the eye are broken, the condition is called an orbital fracture. There are four different bones this could involve. These include the roof, floor, lateral or medial walls of the orbit. This type of fracture typically occurs after blunt trauma to the face. Other bones of the face may be involved. Fractures around the orbit can damage the eye. Therefore, a full ophthalmic exam should be undertaken by a board certified ophthalmologist.
Signs you may have a orbital fracture are numbness of the cheek or lips, swelling of the eyelids, blood visible in the white part of the eye called a subconjunctival hemorrhage, pain in the eye, double vision, bruising around the eye, sunken eye, and decreased movement of the affected eye.
A CT scan is needed to make the diagnosis. Your surgeon will want to see the images themselves on a disc or xray sheet. It is possible that one of the eye muscles (the muscles which move the eye) may be trapped in the fracture. This commonly occurs in children. These cases require urgent repair. In most other cases the surgeon prefers to wait one or two weeks for the swelling around the eye to subside before proceeding with a surgical repair.
THE AGING FACE
Upper Eyelids: The skin on the upper eyelids is thin and loses elasticity as we age. This leads to excess skin and a tired appearance.
Lower Eyelids: The skin on the lower eyelids also stretches with time. The tensile strength of the eyelid decreases which results in a mild to moderate eyelid droop. Orbital fat protrudes which leads to a “puffy bag” on the lower eyelids. The volume around the eye also decreases leading to “hollowness” around the lower eyelids.
Eyebrows: With time, the soft fatty tissue beneath the eyebrows lessens. The fat in the temples also dissipates leading to a mild brow droop.
Midface: Loses volume and descends. Making the face look aged and tired. This creates lines around the mouth. A full midface creates a more youthful appearance.
Lips: Get thinner and lose volume as we age.
Nasolabial: The nasolabial lines is the line from the corner of your nose to the outer corner of the mouth. As we age, it becomes prominent because the midface droops and we lose volume.
Jawline: The jawline becomes less defined as we age.
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Dr. MacQuaid is a Board Certified Ophthalmologist and Oculoplastic Surgeon. An Oculoplastic Surgeon is someone who specializes exclusively in reconstructive, revision and cosmetic surgery of the eyes and surrounding tissue. She completed her fellowship at the prestigious Wilmer Eye Institute at Johns Hopkins Hospital.
Dr. MacQuaid's services range from cosmetic surgery of the eyelids and eyebrows to the midface. Dr. MacQuaid is a renowned expert in reconstructive surgery of the eyelids, eyebrows, tear duct surgery, thyroid eye disease, and tumors. She has advanced training in non-surgical facial rejuvenation such as Botox®, Restylane®, Juvéderm®, Radiesse® and Laser Resurfacing. She offers the latest technology available to patients.
Dr. MacQuaid is currently a member of the American Academy of Ophthalmology and is a Fellow of the American College of Surgeons. Aside from Ophthalmology, Dr. MacQuaid is a former Division One college athlete. In her free time, she enjoys playing tennis and spending time with her husband Jerry and their two children.
Board Certified Ophthalmologist
and Oculoplastic Surgeon
9 Schilling Road Suite LL8
Hunt Valley, Maryland 21031
479 Jumpers Hole Road Suite 106
Severna Park, MD 21146
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The material contained on this site is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Always seek the advice of your physician or other qualified health care provider.