SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

Last Reviewed: January 15, 2026 by SymptomDX Medical Team

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

← Management Protocols

Home Management ProtocolsOrbital fracture

Orbital fracture

Clinical Assessment Checklist

Browse categories and answer follow-up questions to refine your symptom profile.

Immediate priorities

Stabilization priorities

Airway compromise from facial trauma

Cervical spine precautions with high-energy mechanism

Hemorrhagic shock triggers

Altered mental status with head injury concern

Eye shield for suspected ocular injury

Avoid globe pressure from dressings or ultrasound probe

Head of bed elevation

Ice packs to periorbital soft tissue

Nausea control to reduce Valsalva

Analgesia to limit agitation and Valsalva

Time-critical threats

Orbital compartment syndrome

Sudden vision decrease

Afferent pupillary defect

Proptosis with tight orbit

Rock-hard eyelids

Severe pain

Ophthalmoplegia

Intraocular pressure elevation

If suspected, immediate lateral canthotomy and cantholysis (Class I recommendation, expert consensus)

Open globe injury

Teardrop pupil

Extruded ocular contents

Positive Seidel sign

360-degree subconjunctival hemorrhage

If suspected, rigid eye shield and urgent ophthalmology

Entrapment with oculocardiac reflex

Bradycardia

Nausea or vomiting

Syncope with eye movement

If present, urgent surgical evaluation (Class I recommendation, expert consensus)

Consultation triggers

Ophthalmology for visual deficit

Ophthalmology for suspected open globe

Ophthalmology for hyphema

Ophthalmology for retinal symptoms

Maxillofacial or ENT for operative orbital fracture patterns

Neurosurgery for CSF leak concern

Key concepts

Clinical decision points

Vision-threatening complications outweigh fracture pattern

Normal external appearance does not exclude ocular injury

Diplopia requires distinction between pain-limited motility and true entrapment

Pediatric trapdoor fractures may have minimal ecchymosis with severe entrapment

Medical Disclaimer

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

Last Reviewed: January 15, 2026 by SymptomDX Medical Team

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

← Management Protocols

Home Management ProtocolsOrbital fracture