Treatment Approach to Orbito-Ocular Trauma in Le Fort Iii

Orbital and Ocular trauma is frequently associated with signicant soft tissue loss which can lead to obliteration of vital structures with catastrophic sequelae to the patient and obscure bony landmarks. Assessment can be challenging and requires a systematic approach encompassing examination of the periorbital tissues, eyelids, lacrimal apparatus and globe. Orbital fractures with concomitant ocular injuries are often complicated by Facial fractures. These injuries require observation or surgery spanning from simple to complex. The purpose of this article is to illustrate the manifestations, sequence of complications developed post orbital trauma in Le fort III, subsequent inter-disciplinary surgical approach and outcome of post traumatic injury to the eye associated with bony orbit fractures which impacts the overall facial prole.