The claim for orbital fracture is based on the actual loss. You can apply for injury appraisal and determine whether the other party bears criminal responsibility according to the appraisal results.

If the victim suffers personal injury, the compensation obligor shall compensate all expenses such as medical expenses and income reduced due to missed work, including medical expenses, missed work expenses, nursing expenses, transportation expenses, accommodation expenses, hospital food subsidies and necessary nutrition expenses.

Orbital fractures are mostly orbital floor fractures or combined fractures of orbital floor, orbital wall and outer wall, and the consequences of orbital floor fractures and outer wall fractures are mainly orbital floor collapse and orbital contents subsidence, so the following discussion is mainly orbital floor fractures.

1. The glasses around the orbit are congested. Because the soft tissues around the orbit are loose and rich in blood vessels, the orbital fracture will cause contusion of adjacent soft tissues to varying degrees. Bleeding of eyelid, conjunctiva and its surrounding soft tissue forms ecchymosis under conjunctiva and around orbit. The patient seems to be wearing a pair of sunglasses, so it is called "glasses sign".

2. diplopia diplopia is the most common symptom of orbital fracture, especially orbital floor fracture. There are four reasons for diplopia caused by orbital fracture:

(1) direct injury of oculomotor muscles with orbital fracture;

② Bone fragments damage the nerves innervating the eye muscles. For example, the fracture of the orbital wall is easy to damage the oculomotor nerve, leading to the movement disorder of the supraocular muscle.

③ Orbital wall fracture and displacement, soft tissue embedded in fracture line. Especially the comminuted fracture of orbital floor, the loss of orbital floor support and the embedding of orbital contents into maxillary sinus often cause the movement disorder of rectus muscle and oblique muscle of lower eye, which limits the upward movement of eyeball;

④ The orbital contents are trapped in the maxillary sinus, the suspensory ligament of the eyeball moves down, and the eyeball moves down with it, so that the bilateral eyeballs are not at the same level and diplopia occurs.

3. enophthalmos is one of the main manifestations of orbital floor comminuted fracture. Immediately after injury, enophthalmos is common: ① the orbital floor is broken and orbital fat falls into maxillary sinus; ② Fracture displacement and orbital cavity enlargement. It turns out that the orbital fat is not enough to pad the eyeball. The gradual enophthalmos after injury may be caused by delayed reduction of ocular muscle impaction, shortening after muscle fibrosis, or orbital hematoma or mild infection, and gradual necrosis of orbital fat. If hematoma is formed by intraorbital hemorrhage after trauma, enophthalmos may occur instead of enophthalmos.

4. The cause of eye movement disorder is the same as diplopia. Mainly because the eyeball or eye muscle is embedded in the fracture site, which limits the eye movement; Damage to the eye muscle itself or innervated nerves can also lead to abnormal eye movements.

5. Sensory nerve involvement: numbness in the distribution area of infraorbital nerve: seen in the central fracture of orbital floor, causing infraorbital fissure and infraorbital nerve damage in the infraorbital canal, leading to numbness in the nasal side and nasolabial groove of infraorbital area.

Zygomatic facial numbness: it can be seen in the zygomatic nerve injury caused by lateral fracture of orbital floor.

6. Nose bleeding and cerebrospinal fluid rhinorrhea, orbital inner wall fracture, nasal bone fracture or multiple serious fractures of orbit-maxilla-zygoma can all cause nasal mucosa and ethmoid sinus mucosa to tear and cause nosebleed. If the ethmoid bone fracture of orbital wall is accompanied by anterior cranial fossa fracture and dural tear, cerebrospinal fluid rhinorrhea will occur.

7. Eye Complications Orbital fractures are often accompanied by eye injuries. Intraocular vascular bleeding and congestion can lead to elevated intraocular pressure and secondary glaucoma; Injury of nasolacrimal duct can lead to obstruction and tear of nasolacrimal duct. Damage to special structures of eyes, such as scleral rupture, iridocyclitis, lens dislocation, traumatic cataract, eyeball rupture, etc. In severe cases, it may even lead to blindness.

If the orbital floor fracture is not treated in time within two weeks, the orbital floor fracture will be malpositioned and healed. Soft tissue fibrosis and scarring will leave diplopia and eyeball depression, and the correction method is orbital floor repair.