The Effect of Local and Systemic Tranexamic Acid on Edema and Ecchymosis in Orbital Surgery

Inclusion Criteria: * Patients undergoing orbital surgery (decompressions, fracture repairs, enucleations, eviscerations, etc.) * Patients who are at least 18 years of age * Patients that have the capacity to consent Exclusion Criteria: * Any history of previous orbital surgery * Any patient undergoing multiple simultaneous periocular surgical procedures * Any patient with active infection * History of stroke or seizure * History of bleeding/clotting disorder * Patients who do not comply with the required postoperative follow-up schedule * Patients who are allergic to tranexamic acid * Patients who have taken anticoagulant/antiplatelet agents (including aspirin) within 7 days prior to surgery * Patients who have periocular ecchymosis or edema prior to surgery