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Plastic surgery required to prevent eye from sinking?

A motorcycle accident resulted in broken bones in the victim’s face, most importantly his cheek bone. The opinion of one plastic surgeon is that he has 72 hours to do surgery and re-set the bones before they set on their own. This will prevent the risk that his eye, which is supported by the broken cheekbone, might sink or fall in the future, which could cause his eyes to see double, at which point his brain from exhaustion may shut down one eye, leaving him blind in one eye. The opinion of a second plastic surgeon was to not perform any surgery and simply let his face and bones heal. This second doctor's opinion does not address the risk mentioned by the first doctor. This patient would have to borrow the funds to perform the surgery suggested by the first doctor. What should he do? What is the risk that he could become blind in one eye or that his eye could fall due to poor support by his cheekbone?
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replied April 19th, 2013
A proper exam will help determine that. Also a CT scan of your face (specifically ordered to examine your facial bones) will also be important to find out where the volume of your orbit is being displaced. Then techniques aimed to restore the bony orbit, in addition to possibly adding volume via bone grafts or synthetic materials, should be utilized to both provide symmetry and correct any visual disturbances.Another important issue is your vision in all visual fields. I would recommend seeing a plastic surgeon in your area experienced with craniofacial surgery. It would be very unusual for a change to be occurring after over two years from the injury.
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