Orbital cavity reconstruction using orbital and titanium mesh plates after enucleation of ruptured eyeball due to trauma

Introduction: Orbital trauma often occur in patients with multiple facial traumas. On the other side, injury of the soft tissue in the facial region must consider ocular trauma as one of the most significant factors contributing to visual impairment. Accurate diagnosis of eye injury requires expertise in ophthalmology, which makes it possible to identify mild ocular injury in maxillofacial trauma patients. Computed Tomography is the main modality used for orbital trauma because of its sensitivity to detect fracture and soft tissue injury accurately. Case Report: We reported a case of ocular trauma with eyeball rupture and medial orbital wall fracture. This case was treated by eyeball enucleation and orbital wall reconstruction. Material used for orbital wall reconstruction was titanium mesh because it was superior to autogenous bone graft and porous polyethylene sheets (PPE). Surgery was performed carefully by opportune manipulating of bone, reconstruction material, and soft tissue. Conclusion: Proper healing at the surgical approach site was observed, patient had no complaint and no post-surgery complication was noted. Eyeball prosthesis will be cast to reach an optimum aesthetic result.