Abstract Background Orbital fractures are associated with ocular and periocular injuries. The role of the ophthalmologist in the evaluation and management of facial trauma, including orbital fractures, has not been clearly defined. The purpose of this study is to identify and characterize ocular and periocular injuries associated with orbital fractures to define the role of the ophthalmologist in the management of facial trauma. Study design Retrospective case review. Results Three hundred sixty-five patients with orbital fractures who were evaluated by an ophthalmologist as part of their initial trauma evaluation were studied. The majority of the patients with orbital fractures (74%) did not have associated ocular or periocular injuries. Twenty-three of 104 (22%) ocular injuries in 23 of 95 (24%) patients required immediate intervention by an ophthalmologist. Conclusions Facial trauma and orbital fractures are associated with significant ocular and periocular injuries, the minority of which require immediate evaluation and treatment by an ophthalmologist. These results differ from those previously reported.
Objectives: This is a retrospective descriptive case study which will look into the spectrum of ophthalmic involvement in cases with orbital and eye injuries after cranio-facial trauma and to analyse the visual and motility outcome. Material: One hundred and four cases with ophthalmic involvement after cranio-facial trauma that were referred to and seen in the eye department of a tertiary teaching hospital in Singapore between 1991–97 were included in the study. Methods: The case records of 104 ...
Purpose: This study assessed the frequency of blindness associated with midfacial fractures and correlated this with the fracture pattern. Patients and Methods: A retrospective analysis of 49 patients admitted with midfacial fractures from January 1995 to March 1997 was performed to determine the presence of posttraumatic blindness. The medical and radiological records of the patients with blindness were reviewed for age and sex, cause of the injury, type of facial fracture, type of ocular traum...
: A retrospective study of orbito-zygomatic injuries presenting to eye casualty over 3-year period revealed the majority of patients with pure orbital "blow-out' fractures had no other associated ocular abnormalities and 96% of these patients had a visual acuity of 6/9 or greater at discharge. In contrast only 74% of patients with multiple facial fractures had a visual acuity of 6/9 or greater at discharge. Severe ocular trauma was uncommon in patients with orbito-zygomatic injuries. Decrease in...
Severe ocular injuries are uncommon in patients with pure orbital blow-out fractures. Over a 3-year period, 45 patients with radiologically proved blow-out fractures were reviewed by an ophthalmologist. Decrease in visual acuity was the main clinical finding accompanying significant eye injury. Although most eye injuries were transient, early ophthalmic assessment is recommended to exclude potentially serious complications such as traumatic optic neuropathy. Troublesome diplopia may delay rapid ...
A ten year retrospective review of 259 zygoma fractures is presented to highlight changes in epidemiology and treatment. Motor vehicle-related trauma resulted in a majority of the injuries (80.6%), with a high incidence of multiple facial fractures (43.2%). The number of zygomatic and other facial fractures decreased over the duration of the study (by 50.0% and 20.1%, respectively, p<0.05), perhaps reflecting lowered speed limits and the increased use of seat belts. The proportion of fractures r...
Abstract Patients with facial trauma may have associated injuries requiring immediate or specialised attention. This paper reports the incidence and nature of significant associated neurosurgical, ocular, spinal, torso and extremity injuries in facial fracture patients treated by the Department of Plastic and Reconstructive Surgery from June 1989 to June 1992. Of 839 patients treated during the period, 95 patients (11.3%) sustained significant concomitant injuries outside the facial skeleton. Th...
: Surgery for 772 patients with middle- or upper-third facial injuries was carried out between 1984 and 1990 in two university hospitals in Tehran. The most common etiological factor was firearm injuries (69.04%; n = 533), followed by road traffic accidents (24.44%; n = 189). The most common associated nonfacial injuries were head injuries (36.97%; n = 285 followed by ocular injuries (23.18%; n = 179). Treatment of middle- or upper-third facial injuries ranged from minor repair to major surgery ...
: Improved prognosis for eye injuries sustained during facial trauma depends on early assessment and accurate diagnosis. The surgeon responsible for management of the orbital fracture(s) must perform an ocular assessment at the time of initial examination. Abnormalities found on the five-point assessment outlined herein should lead to urgent ophthalmic consultation. Fracture repair should not be undertaken until the results of consultation have been discussed with the ophthalmologist. Vision sho...
#1Osguthorpe Jd(MUSC: Medical University of South Carolina)H-Index: 6
: Over a 49-month period, 121 orbital wall fractures were treated and 92 were followed for a median of 6.5 months (minimum, 3 months). Associated injuries included a 17% incidence of serious globe or optic nerve injuries and 13% incidence of lacrimal drainage disruption. Diplopia occurred in 23% and dystopia in 11%. Management was by observation alone in 14% and exploration in the remainder, with layered gelfilm for defects smaller than 4 cm2, alloplastic sheeting for defects to 6 cm2, and outer...
Abstract Introduction Orbital fractures are commonly reported following injury to maxillofacial region. Management of these fractures often poses a challenge due to potential involvement of a number of anatomical structures. Hence this study was attempted to collate the anatomical details relevant to clinical presentation of orbital fracture as available in published literature from clinical domain. Materials & methods A literature search of relevant, peer-reviewed, published articles was undert...
#2Colleen Szypko(MEE: Massachusetts Eye and Ear Infirmary)H-Index: 1
Last. Alice C. Lorch(MEE: Massachusetts Eye and Ear Infirmary)H-Index: 5
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Importance Orbital fractures are common in ocular trauma, and there is a need to develop predictive tools to estimate risk of concurrent ocular injury. Objective To identify clinical and radiographic features that are associated with increased risk of substantial ocular injury in the setting of orbital fracture. Design, Setting, and Participants Retrospective consecutive case series of patients who sustained orbital fractures between 2012 and 2018. Examinations were done at 1 of 2 level 1 trauma...
Last. Yoon-Duck Kim(SMC: Samsung Medical Center)H-Index: 17
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PURPOSE To analyze the prevalence and association of ocular injury and orbital fracture in orbital trauma patients METHODS: Patients with periocular trauma who visited the emergency room at the referral center from 2014 to 2016 were screened. Patients examined by ophthalmologists and evaluated by CT scan were included. Patients' age, gender, cause of trauma, and injury patterns were retrieved. The location of the fracture and morphologic parameters were reviewed. The patients were divided into g...
Purpose The purpose of this study was to determine the incidence of minor and major ocular injuries in patients with orbital wall fractures at Loma Linda University Health, a level-one trauma center, to help determine the most appropriate setting for the initial dilated fundus examination by ophthalmologists. Methods A retrospective study was performed from January 2008 to January 2013 of patients diagnosed with orbital wall fracture secondary to trauma. Exclusion criteria included unknown mecha...
Abstract Objective To determine the association of “pure” orbital fractures (POF) and “impure” orbital fractures (IOF) with ocular and periocular injuries. Materials and methods A retrospective study of patients with orbital fractures was designed. The predictor variable was the orbital's fracture configuration (pure versus impure). The primary outcome variables were ocular and periocular injuries classified as mild, moderate, and severe. The secondary outcome was the need for surgical repair. S...
#1Karina Richani(University of Texas Health Science Center at Houston)H-Index: 4
#2Thai H Do(University of Texas Health Science Center at Houston)H-Index: 1
Last. Margaret E. Phillips(University of Texas Health Science Center at Houston)H-Index: 5
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PURPOSE: Define incidence of severe ocular trauma in orbital fracture patients and determine if ocular signs and symptoms are useful predictors of severe ocular injuries. METHODS: Retrospective chart review was performed on all patients with orbital fractures between April 1, 2013, and December 31, 2014. Patients were included if they had radiographic evidence of acute fracture of at least one orbital wall and were evaluated by the Ophthalmology service. Demographics, concurrent injury data, and...
Last. Brett W. Davies(San Antonio Military Medical Center)H-Index: 10
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Background Orbital roof fractures are a significant cause of morbidity in trauma and are associated with a spectrum of orbital and ocular injuries. This study aims to characterize orbital roof fracture patterns and quantify the rate of acute intervention as compared with non-roof involving orbital wall fractures.
Introduction and objective The objective of this study was to determine whether there is a need for ophthalmologists to perform a specialized assessment after the occurrence of orbital fractures.