Incidence of Ocular Injury in Visually Asymptomatic Orbital Fractures

Mellema, Peter A.; Dewan, Mohit A.; Lee, Michael S.; Smith, Suzanne D.; Harrison, Andrew R.

doi:10.1097/iop.0b013e3181aa9a73

Cited by 54 publications

(31 citation statements)

References 11 publications

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“…The research by Mellema et al found that asymptomatic patients were unlikely to have severe ocular injury in the setting of an orbital fracture. In addition, visual acuity did not accurately predict the presence of a severe ocular injury [16]. Our findings agree with their statement as 70% of the asymptomatic patients had no neurological findings and 1.0 vision, with the other 30% also having no neurological findings and slightly reduced vision (>0.6).…”

Section: Discussionsupporting

confidence: 72%

Eye complications after head trauma in children

Slaveykov¹

2019

Ann Clin Anal Med

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Aim: In this study, we aimed to assess the importance and frequency of ocular complications of head trauma. Material and Method: This research paper presents a cross-sectional study of 77 children with head injury. The study was carried out at the University Hospital "Prof. Dr. Stoian Kirkovich", Stara Zagora, Bulgaria, Department of Neurosurgery. Participants were recruited consecutively into the study during the period from January 2016 to January 2018 and underwent a thorough ophthalmic and neurosurgical examination. The analysis included age, sex, the cause of head injury, and ocular findings. Results: The leading causes of head injury were domestic accidents (45.5%) and fall in playgrounds (33.8%). Ocular findings were observed in 56 (72.72%) cases of head injury. Most common complications were ocular adnexa damage (29.9%) and anterior segment damage (27.3%). Severe damage including orbital fractures was found in 1 patient. There is no statistically significant difference in gender, although males were more prone to sports activity related accidents. The main complaint of males was the pain in the ocular area, while females considered the swelling a primary concern. Age also plays a factor, with the highest frequency of incidences between 10 and 15 years. Discussion: Additional problems which require attention are head trauma due to child abuse, overprotective parents exacerbating the children's complaints and the need for emergency evaluation of visually asymptomatic patients with orbital fractures.

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Section: Discussionsupporting

confidence: 72%

Eye complications after head trauma in children

Slaveykov¹

2019

Ann Clin Anal Med

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“…Careful evaluation for possible globe rupture must be performed. The majority of pathologies can be present even in visually asymptomatic patients 6. Treatment of any vision-threatening conditions should almost always preclude repair of the fracture until stable.…”

Section: Discussionmentioning

confidence: 99%

Orbital fractures: a review

Joseph¹,

Glavas²

2011

OPTH

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This review of orbital fractures has three goals: 1) to understand the clinically relevant orbital anatomy with regard to periorbital trauma and orbital fractures, 2) to explain how to assess and examine a patient after periorbital trauma, and 3) to understand the medical and surgical management of orbital fractures. The article aims to summarize the evaluation and management of commonly encountered orbital fractures from the ophthalmologic perspective and to provide an overview for all practicing ophthalmologists and ophthalmologists in training.

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“…OPHTHALMOLOGIC EVALUATION Eleven to 15% of orbital fractures are associated with ophthalmological emergencies, the majority of which will present with diminished visual acuity or other visual changes. 8,9 However, it is important to note that although decreased vision in the setting of trauma is common, such a finding is neither 100% sensitive nor specific for ophthalmologic emergencies. For example, testing vision with a near vision card in the absence of reading glasses or with eyelid swelling causing temporary, but significant, astigmatism may result in spuriously poor vision, whereas a self-sealing anterior scleral laceration or a peripheral retinal injury may not significantly alter grossly tested vision.…”

Section: Initial Assessmentmentioning

confidence: 99%

Pearls of Orbital Trauma Management

Roth

Koshy

Goldberg

et al. 2010

Seminars in Plastic Surgery

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Orbital fractures account for a significant portion of traumatic facial injuries. Although plastic surgery literature is helpful, additional pearls and insights are provided in this article from the experience of an oculoplastic surgeon. The fundamentals remain the same, but the perceptions differ and provide a healthy perspective on a long-standing issue. The most important thing to remember is that the optimal management plan is often variable, and the proper choice regarding which plan to choose rests upon the clinical scenario and the surgeon having an honest perception of his or her level of expertise and comfort level.

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Incidence of Ocular Injury in Visually Asymptomatic Orbital Fractures

Abstract: Visually asymptomatic patients with orbital fractures do not have ocular injury requiring emergent evaluation.

Cited by 54 publications

References 11 publications

Eye complications after head trauma in children

Eye complications after head trauma in children

Orbital fractures: a review

Pearls of Orbital Trauma Management

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