Orbital infection, or orbital cellulitis, is an aggressive and rapidly progressing process that can be vision and even life threatening. Although commonly arising from an adjacent sinusitis, orbital cellulitis often requires urgent orbital surgery to drain any abscesses and intravenous antibiotic treatment. Early intervention often leads to preservation of vision and successful outcomes. Orbital cellulitis can also result from trauma to the eyelid, eye, or orbit or innately in people with weakened immune systems or diabetes.
Orbital tumors can arise within the eye socket itself or as an extension from the eyelids, eye, or surrounding sinuses, bones, or brain. Some tumors grow slowly and largely unnoticed while others can cause rapid changes, vision loss, double vision, or changes in the eye’s appearance and position. Dr. Dal Canto will often evaluate potential tumors with CT or MRI scans and make treatment recommendations accordingly. Depending on the tumor in question, it may be removed with surgery, either by Dr. Dal Canto alone or in combination with other specialists, treated by oncologists with chemotherapy or radiation therapy, or observed carefully over time.
Orbital fractures are common after trauma to the face. The thin bones of the eye socket can “blow out” or break into the surrounding sinuses. These fractures can occur in isolation or combined with other facial bone fractures, eyelid lacerations, tear drain injuries, and bleeding within and around the eye. These injuries occur all to commonly from fist fights, car accidents, sporting activities, and even simple falls.
Orbital fractures with significant tissue prolapsed into the surrounding sinuses, double vision, or numbness of the cheek and/or lips should be repaired in a timely fashion, usually within several weeks. Dr. Dal Canto’s research showed that surgery was still effective even after a month, albeit more difficult. Surgery performed at a later time may still be worthwhile, but may be less effective.
As an oculoplastic specialist, Dr. Dal Canto is an experienced orbital surgeon and will evaluate the fracture to determine whether surgery is necessary. He performs the surgery through an incision along the inside of the eyelid, leaving little if any external scars from the fracture repair.
Enucleation and Evisceration
The removal of an eye (enucleation and evisceration) may be necessary after a severe, blinding injury to the eye, or as a result of diseases that render an eye blind, painful, and often disfiguring. Once the eye is removed, the socket is reconstructed to prepare it for a prosthetic eye. When the surgery is done by a specialist such as Dr. Dal Canto, the result can be quite natural and pleasing in appearance in addition to the benefits of removing the blinded or diseased eye.
Why You Should Trust Dr. Dal Canto to Treat Your Orbital Disease
The orbit is a complex, enclosed structure with vital nerves and tissues necessary for normal ocular function. Dr. Dal Canto’s training and membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASROPS) indicates that he is an expert in orbital surgery and reconstructive techniques. As a sub-specialized, board certified ophthalmologist, he has a deeper understanding of the anatomy and structure of the eye and orbit than other facial plastic surgeons. In addition, he can better monitor the impact of the orbital disease and surgery on the eye and its function.
Before and After Photographs
(WARNING: Some of the photographs may be graphic in nature.)
Patient #1: Pediatric Dermoid Tumor
Patient #2: Orbital Fibrous Histiocytoma