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hyphaema, diplopia, orbital fracture...HELP!!

Posted by mediaptient on 9/16/2006 8:23:21 AM.

Im a 18 year old male...i suffered an eye injury about a month ago
i was told i had a traumatic hyphaema and an orbital wall fracture
now since its a month later...the hyphaema is clearing up with no staining
I was complainting about double vision...so my doctor said it was diplopia caused from the fracture.
well when the injury first happened i was prescribed prednisolone tablets...prednisolone acitate (the eye drops), atropine sulfate solution (eye drop) and a nasal spray along with zantac to control the steriod (prednisolone tablets)

I first started off wit 60 mg of prednisolone tablets then it decreased in dosage as days went along.
i am off it now...as well as the zantac. I still take the eye drops which causes blurred vision alot and for a stange reason causes a white build up in the corner of my cornea in the mornings when waking up,

I was told the hyphaema was barely see-able now but I still had some inflammation so I was told to continue the eye drops.
I got evaluated by a plastic surgeon who revied my CT and told me I would need surgery for the trauma caused from the fracture because my left eye which it occured in...it had sunk in more than i gues 2 degrees or something like that. Also i had diplopia in my vision when i look up and down, so I still held off from the surgery until i hear that the inflammation and hyphaema is fully cleared up.

Does anyone suggest surgery because I hear of alota mistakes from this type of injury when it comes to surgery. Also I've been having alot of funny side effects from the steriod such as gain of weight , mustle pain and loss of energy. I read the side effects of prednisolone after and notice it told me of these side-effects. It said if you had a hurnea before to inform your doctor but I had one as a child which was a little uncommon. Still no problem in that.

But like I said I hear alot about surgery involving situations like this and need a little insite or recommendations such as a herb or something that'll help besides surgery but if surgery is the best choice I'd like to be informed....as a second opinion

There are currently 2 replies.


  • Re:hyphaema, diplopia, orbital fracture...HELP!!
    Posted by sarasota84 on 09/29/2006

    Hi Mediaptient,

    I'm not sure exactly what type of injury you've had, so I don't know how what I say will help. I had a field hockey accident when I was 14 and was almost completely blinded in that eye. (I say almost because I could still sense light and dark as if the eye was closed and the sun was coming out then going behind a cloud.) But to prevent the blindness in one eye from spreading to the other (sympathetic ohpthalmia), we chose to have the injured eye removed. Now I'm not sure what all the medical terms for what I had are, but my iris was shattered, the shelf of bone your eye sits on was broken, and among other things I had a hole in my sinus. I don't know what advice to give you other than make sure you cover all your bases and perhaps see another doctor (a specialist maybe?). My doctors are based in Boston and have been really great...and I went to a lot of doctors before making final decisions. Best of luck!

    ~Sarah~


  • Re:hyphaema, diplopia, orbital fracture...HELP!!
    Posted by charltondon on 09/03/2007

    Mediapatient:

    How did you make out, did you have the surgery?

    Sounds like i have an identical injury and I am in the same place you were last September. Help...

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