Functional and cosmetic outcome in oculofacial trauma at tertiary center- multidisciplinary approach

Abstract

To assess the outcome of lid, adnexal and orbital injuries in poly trauma patients at multi specialty hospital. Papers of 104 consecutive patients with oculofacial injuries were retrospectively reviewed. Data were analyzed with respect to extent, severity, type and location of oculofacial injury. Treatment outcome assessed after surgeries performed by combined approach of ophthalmologist and plastic surgeon. Periorbital soft tissue trauma observed in 65 (62.5%), orbital and Periorbital fracture in 39 (37.5%) cases and Intraocular injuries were noted in 43 patients (41.35 %). Accompanying other injuries was managed properly for better final outcome. Goal of repair is to restore anatomical and cosmetic appearance of patients. In our series of patients, we achieved 95% cosmetic satisfaction with loss of 5 eyes vision with best of our care. The oculofacial trauma patients have tremendous fear of visual loss and aesthetic appearance. Functional and cosmetic outcome of oculofacial injuries depends on multiple factors, well planned, appropriate, early intervention by multidisciplinary approach provides best surgical outcome.