New and cost-effective way of retracting orbital contents during repair of the orbital floor

The main challenges during repair of a fracture of the orbital floor are the limited visibility and accessibility, particularly of the medial wall. To overcome this we have been using polydioxanone (PDS, Ethicon) sheets to retract the orbital contents, and their use has been reported by others.1,2 They improve visibility, prevent prolapse of the soft tissues, and avoid entrapment during the placement of implants. This is particularly important when disruption of the orbital septum is causing decompression of the entire orbital compartment into the fracture, but it is expensive.

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