Post-traumatic eye observations

Bater, M.; Ramchandani, P.L.; Brennan, Peter A.

doi:10.1016/j.bjoms.2005.02.002

Cited by 17 publications

(18 citation statements)

References 10 publications

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“…[5] Any injury near the eye should prompt a check of visual aquity, diplopia and evidence of globe injury. [6] Palpation of the orbital rims discloses step deformity of the bone. The condition of the eyelids and integrity of medial and lateral canthi should be tested.…”

Section: Diagnostic Studiesmentioning

confidence: 99%

Management of soft tissue wounds of the face

Bhattacharya

2012

Indian J Plast Surg

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Since time, immemorial soft-tissue injuries to the face have been documented in literature and even depicted in sculptures, reflecting the image of society. In a polytrauma the face may be involved or there may be isolated injury to the face. The face consists of several organs and aesthetic units. The final outcome depends on initial wound care and primary repair. So one should know the “do's and don’ts”. Disfigurement following trauma, becomes a social stigma and has the gross detrimental effect on the personality and future of the victim. Therefore, such cases are most appropriately managed by Plastic Surgeons who have a thorough knowledge of applied anatomy, an aesthetic sense and meticulous atraumatic tissue handling expertise, coupled with surgical skill to repair all the composite structures simultaneously.

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Section: Diagnostic Studiesmentioning

confidence: 99%

Management of soft tissue wounds of the face

Bhattacharya

2012

Indian J Plast Surg

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“…However, the direct compression of retrobulbar hematoma to the optic nerve may also play an important role. 4,5,6,11,12 Return of vision has been frequently reported after orbital mechanical decompression, suggesting a restored perfusion. 6 The early diagnosis of RH and its treatment are crucial to limit irreversible damages to visual acuity that are thought to occur after just 120 minutes of ischemia.…”

Section: Discussionmentioning

confidence: 98%

Double Consecutive Retrobulbar Hemorrhage in a High-Risk Patient in Treatment With Aspirin and Warfarin

Viterbo¹,

Boffano²,

Guglielmi³

et al. 2012

Journal of Craniofacial Surgery

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Retrobulbar hemorrhage is a vision-threatening emergency that may occur spontaneously or following facial trauma, orbital surgery, endoscopic sinus surgery, and retrobulbar injections. It may determine visual loss because of central retinal artery occlusion, optic neuropathy from direct compression, or compression of the circulation from mechanical tamponade. In addition to a deterioration in visual acuity with total blindness in the most severe cases, several symptoms and signs can be found, such as a sudden onset of severe pain, proptosis, and ophthalmoplegia.The knowledge of past medical history and underlying medical conditions is crucial in patients with retrobulbar hemorrhages. In fact, patients with blood dyscrasias have to be considered high-risk patients due to their increased propensity for uncontrolled bleeding.The aim of this article was to present and discuss the management of a case of double consecutive retrobulbar hemorrhage in a high-risk patient in treatment with aspirin and warfarin.

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“…Ocular symptoms and signs include orbital pain, pain on eye movement, reduced color vision and visual acuity, proptosis, tense globe, and the presence of a relative afferent papillary defect. 8 Patients with suspected orbital injury require regular eye observations and ideally should be reviewed by an ophthalmologist. 9 An advice sheet on discharge warning patients of important symptoms and signs has been advocated.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Transorbital Penetrating Injury and Principles of Management

Dekker

El-Sawy

Rejali

2014

Craniomaxillofacial Trauma & Reconstruction

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The objective of this study was to present an unusual low velocity transorbital penetrating injury. The study design was a clinical record (case report). A 38-year-old gentleman tripped and fell face first onto the wing of an ornamental brass eagle. This penetrated the inferomedial aspect of the right orbit, breaching the lamina papyracea to extend into the ethmoid sinuses and reaching the dura of the anterior cranial fossa. The foreign body was removed in theater under a joint ophthalmology and ENT procedure. The patient was left with reduced visual acuity in the right eye but no other long-term sequelae. Transorbital penetrating injury presents unusual challenges to investigation and management requiring a multidisciplinary approach to prevent significant morbidity and mortality. If managed well the prognosis is good.

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Post-traumatic eye observations

Cited by 17 publications

References 10 publications

Management of soft tissue wounds of the face

Management of soft tissue wounds of the face

Double Consecutive Retrobulbar Hemorrhage in a High-Risk Patient in Treatment With Aspirin and Warfarin

An Unusual Transorbital Penetrating Injury and Principles of Management

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