Functional and Visual Outcomes of Orbital Floor Fracture Repair Using Titanium Mesh: A Retrospective Cross-Sectional Study.

Abstract

Objective This retrospective study aims to evaluate the functional and visual outcomes of patients undergoing orbital floor fracture repair using titanium mesh implants. Methods Medical records of patients treated over four years for isolated or combined orbital floor fractures using titanium mesh were reviewed. Clinical outcomes assessed included diplopia, enophthalmos, ocular motility, and visual acuity, both pre- and postoperatively. Radiological evaluations were used to confirm anatomical restoration. Results A total of 25 patients (all males, mean age: 39.32 years) were included. Postoperative assessment showed significant improvement in diplopia in 72% (n = 18) and ocular motility in 68% (n = 17) of cases. Enophthalmos correction was achieved in 76% (n = 19) of patients. Visual acuity remained stable or improved in the majority of cases. Minor complications in the form of paresthesia were noted in 8% (n = 2) of patients, and visual complications were noted in 4% (n = 1). No major implant-related issues or infections were observed. Only 16% (n = 4) of patients required secondary intervention. Conclusion Titanium mesh is a reliable and effective material for repairing orbital floor fractures, offering favorable functional and visual outcomes with a low rate of complications. Its use facilitates accurate anatomical reconstruction and contributes to long-term orbital stability in adults.