What should I do for a fracture of the medial wall of the right orbit?

Under normal circumstances, the treatment methods for medial wall fracture of the right orbit mainly include conservative management, medication, surgical intervention, rehabilitation therapy, and physical therapy. A detailed analysis is as follows:

1. Conservative Management

Patients should immediately stop any strenuous activities to avoid secondary trauma to the eye area. Daily maintenance of a slightly elevated head position helps reduce periorbital swelling. Attention should be paid to ocular hygiene; patients should avoid rubbing their eyes with hands to prevent secondary infection, thereby providing an optimal environment for eye recovery.

2. Medication

Drug therapy can help relieve discomfort symptoms caused by fractures. Patients may take cefuroxime axetil tablets under medical guidance to prevent infection, use diclofenac sodium sustained-release tablets to alleviate pain, take maiseiren tablets (horse chestnut extract) to promote resolution of swelling, and use cetirizine hydrochloride tablets to relieve ocular allergic reactions.

3. Surgical Treatment

If the fracture causes significant enophthalmos (sunken eyeball), persistent diplopia (double vision), or optic nerve compression, surgical treatment is required. The surgery aims to repair the fractured site and reposition displaced tissues, restoring the normal structure and function of the orbit, thus preventing permanent visual impairment.

4. Rehabilitation Therapy

During the fracture recovery period, appropriate eye function exercises—such as slowly rotating the eyeballs—can be performed to promote recovery of ocular muscle function and improve diplopia symptoms. Regular ophthalmic examinations should also be conducted as directed by a physician to monitor recovery progress.

5. Physical Therapy

For eyelid swelling and subcutaneous hematoma associated with the fracture, cold compresses within the first 48 hours after injury can help reduce bleeding, while warm compresses after 48 hours promote absorption of the hematoma. If vision deterioration occurs, prompt visual assessment and appropriate interventions are necessary.

In addition, patients must strictly follow medical advice during treatment and avoid adjusting the treatment plan on their own. In case of sudden vision loss, worsening eye pain, or other abnormal conditions, immediate medical attention should be sought.