The purpose of this study was to describe the prevalence of significant intraocular sequelae (SIOS) and its correlation with the severity of blunt orbital trauma. Four hundred ten consecutive patients presenting to the ED who had sustained blunt orbital trauma were studied. The severity of orbital trauma was graded and SIOS was determined by the presence of an intraocular injury as listed in Table 2. The presence of SIOS was noted in 14 (41.2%) mild, 22 (59.5%) moderate, and 20 (29.4%) severe orbital trauma. In the severe group, the presence of SIOS was detected in 8 (23.5%) blowout fractures and in 12 (35.3%) non-blowout fractures. In view of the high rates of ocular complications among mild and moderate orbital injuries, such patients should have prompt ophthalmic follow up. The relatively low prevalence of SIOS in patients with severe orbital trauma could suggest a protective mechanism in this type of injury.
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PurposeThe purpose of this study was to investigate the two accepted mechanisms of the orbital blowout fracture (the hydraulic and the buckling theories) from a clinical, experimental, and theoretical standpoint.MethodsClinical cases in which blowout fractures resulted from both a pure hydraulic mec
BACKGROUND: A study was performed to determine the type and frequency of ocular injuries in patients with major trauma. METHODS: All patients with ocular and adnexal injuries (n = 178) among 1,119 patients admitted with major trauma (Injury Severity Score >15) to the Royal Prince Alfred Hospital from July 1990 to December 1997 were analyzed. RESULTS: Sixteen percent of the major trauma cohort had ocular or orbital trauma. Fifty-five percent of patients with injuries involving the face had ocular...
PURPOSE: The purpose of this study was to investigate the two accepted mechanisms of the orbital blow-out fracture (the hydraulic and the buckling theories) from a clinical, experimental, and theoretical standpoint. METHODS: Clinical cases in which blow-out fractures resulted from both a pure hydraulic mechanism and a pure buckling mechanism are presented. Twenty-one intact orbital floors were obtained from human cadavers. A metal rod was dropped, experimentally, onto each specimen until a fract...
We reviewed the real and potential ocular problems in all head and neck injuries at a tertiary care and regional trauma center from April of 1994 to March of 1995. Through a retrospective study, 127 charts were reviewed, specifically looking at the mechanism of injury, types of injury, whether there was any ocular trauma noted in the chart, and whether there was a consultation to the ophthalmology department. Forty-one of these patients were seen by an ophthalmologist as the initial consultant f...
: 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 ...
Last. Peter S. Hersh(Albert Einstein College of Medicine)H-Index: 41
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Purpose: The authors conducted a 1-year prospective study investigating the demographics, causation, and treatment of eye trauma in an urban population at one medical center. Methods: All patients sustaining eye injuries who were evaluated by the ophthalmology service over a 1-year interval were included. A formal questionnaire was completed with demographic data and details of the injury being obtained. An ophthalmologic examination was performed on each patient, and examination findings, diagn...
Fractures of the mid-face are commonly accompanied by injury to the visual system. Three hundred and sixty three patients who had sustained mid-facial fractures were assessed prospectively for evidence of such injury. The data have been used to devise a scoring system for the maxillofacial surgeon in order to help identify those patients at risk of eye injury. The scoring system has been evaluated on a further cohort of 100 patients with a similar spectrum of injury and the sensitivity and speci...
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...
#1Zhenyang Zhao(UTMB: University of Texas Medical Branch)
#1Zhen-Yang Zhao(UTMB: University of Texas Medical Branch)H-Index: 10
Last. Andrew G. Lee(UTMB: University of Texas Medical Branch)H-Index: 63
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Orbital compartment syndrome is an ophthalmologic emergency that requires timely surgical intervention. The authors present a rare case of orbital compartment syndrome in a 30-year-old male injured by forceful entry of air-gasoline mixture into the orbit, secondary to inadvertent firing of the piston from running mechanical diagnostics on an automobile internal combustion engine. Orbital CT revealed extensive orbital emphysema with both pre- and postseptal involvement and diffuse chemical cellul...
Last. Donovan S Reed(San Antonio Military Medical Center)H-Index: 2
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INTRODUCTION Penetrating and perforating ocular trauma are often devastating and may lead to complete visual loss in the traumatized eye and subsequent compromise of the fellow eye. A significant proportion of traumatic injuries are complex, often requiring vitreoretinal intervention to preserve vision. A retrospective analysis at a level 1 trauma center was performed to evaluate the time course, incidence, and outcomes following pars plana vitrectomy (PPV) after traumatic ocular injury and init...
#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...
#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...
Purpose:Orbital wall fractures are a significant cause of ocular injury in trauma and are associated with posterior segment pathology. This study aims to characterize patterns and prognosis of comm...