Peer-reviewed veterinary case report
Vision loss from titanium mesh implant after orbital fracture surgery
By Flores Cortés MF et al.·2026·Instituto de Oftalmología Fundación Conde de Valenciana IAP·View original on Europe PMC →
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Original publication title: Compressive optic neuropathy secondary to titanium mesh implant in orbital fracture. Case report.
Plain-English summary
A 40-year-old woman had a serious head injury from a traffic accident that caused fractures in her eye socket. She had surgery to fix these fractures, during which a titanium mesh implant was placed without checking her eyes first. After the surgery, she suddenly lost her vision. A second surgery tried to fix the issue by replacing the implant with smaller plates, but her vision did not improve. Eventually, the implants were removed, and she received treatment with corticosteroids, which helped her vision gradually recover to a level where she could see fairly well. This case highlights the importance of careful evaluation and teamwork among doctors when dealing with eye injuries to avoid lasting vision problems.
Abstract
Orbital fractures are a common cause of facial trauma and may lead to significant functional impairments. Titanium mesh implants are frequently used in orbital reconstruction; however, complications can arise if improperly placed. We report the case of a 40-year-old woman who sustained cranioencephalic trauma in a traffic accident, resulting in fractures of the orbital floor and medial wall. She underwent early maxillofacial surgery without prior ophthalmologic evaluation, and a titanium mesh was implanted. Postoperatively, she developed sudden vision loss. A second surgery replaced the implant with smaller plates, but no improvement occurred. Imaging revealed persistent compression of the optic nerve and extraocular muscles. Surgical removal of the implants and orbital decompression, along with corticosteroid therapy, led to gradual visual recovery, reaching 20/40 best-corrected acuity and restoration of the central visual field. This case underscores the need for timely diagnosis and multidisciplinary management in orbital trauma to prevent permanent visual sequelae.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41461290