Blindness following severe midfacial trauma – Case report and review

Roth, Johannes; Hingst, V.; Lenz, Jan-Hendrik

doi:10.1016/j.jcms.2011.10.020

Cited by 3 publications

(4 citation statements)

References 50 publications

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“…Yet, the use of protective masks directly after trauma and the subsequent return‐to‐play within a few days after trauma, which is frequently seen in professional football, increases the risk of re‐injury and other complications. General complications after midfacial fractures have been well documented in the literature but rarely in clinical studies such as our investigation [14, 22, 25, 41]. None of our study participants had sustained any re‐injury or re‐fracture after return‐to‐play, although not all players did wear a face mask.…”

Section: Discussionmentioning

confidence: 83%

Injury mechanism of midfacial fractures in football causes in over 40% typical neurological symptoms of minor brain injuries

Krutsch

Geßlein

Loose

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 83%

Injury mechanism of midfacial fractures in football causes in over 40% typical neurological symptoms of minor brain injuries

Krutsch

Geßlein

Loose

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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“…The impact causes vitroretinal damage as well. Retinal ischemia, retinal bleeds, and retinal detachments are other causes of blindness 9…”

Section: Discussionmentioning

confidence: 99%

Association of Midfacial Fractures with Ophthalmic Injury

Politis

Kluyskens

Dormaar

2017

Craniomaxillofacial Trauma & Reconstruction

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The aim of this study is to evaluate the incidence of ophthalmic complications following midfacial fractures and investigate its relation to surgical or nonsurgical treatment. This article is a retrospective study, describing the spectrum and incidence of ophthalmic injury in 106 patients presenting with midfacial fractures at the Department of Oral and Maxillofacial Surgery of the University Hospitals Leuven over a period of 16 months (January 2013 to April 2014). The mean age of the patients was 45.6 years with a gender distribution of 68 men and 38 women. The main cause of trauma was road traffic accidents. Forty-one patients suffered an ophthalmic injury following the fracture. Twelve of them had a persistent ophthalmic problem. Ophthalmic examination is necessary during the initial management. The time window for preservation of sight is small and treatment should be started immediately. Development of an emergency trauma scale that includes fractures, symptoms of visual impairment, and patient history is recommended and should stimulate a multidisciplinary approach of complex cases.

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“…Being a sensory tract, it is not covered by the neurilemma; therefore, there is no regenerative potential when severed and any resulting visual loss will be permanent. 27 The pathogenesis outlined earlier may explain blindness as Roth et al 43 concluded that traumatic optic nerve neuropathy should be treated as a cell death inducing increased intraneuronal pressure complicated by ischemia, axone rupture, and electrolyte imbalance of adjacent tissues just like in spinal paraplegia.…”

Section: Discussionmentioning

confidence: 99%

“…The pathogenesis outlined earlier may explain blindness as Roth et al43 concluded that traumatic optic nerve neuropathy should be treated as a cell death inducing increased intraneuronal pressure complicated by ischemia, axone rupture, and electrolyte imbalance of adjacent tissues just like in spinal paraplegia.…”

Section: Discussionmentioning

confidence: 99%

Immediate Surgical Management of Traumatic Dislocation of the Eye Globe into the Maxillary Sinus: Report of a Rare Case and Literature Review

Noman

Shindy

2017

Craniomaxillofacial Trauma & Reconstruction

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We report a case of complete dislocation of the globe into the maxillary sinus, with immediate repositioning of the globe. This report highlights the importance of early surgical repair of orbital fracture and globe repositioning to regain the maximum amount of ocular functions. A review of literature found 19 cases of globe dislocation into the maxillary sinus: One case was enucleated 2 months after misdiagnosis as traumatic enucleation, six cases were documented no vision or no light perception, three cases did not have reported vision (patients did not survive), and nine cases with postoperative vision. We recommend early surgical intervention to restore the cosmetic and visual function of the dislocated eye.

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Blindness following severe midfacial trauma – Case report and review

Cited by 3 publications

References 50 publications

Injury mechanism of midfacial fractures in football causes in over 40% typical neurological symptoms of minor brain injuries

Injury mechanism of midfacial fractures in football causes in over 40% typical neurological symptoms of minor brain injuries

Association of Midfacial Fractures with Ophthalmic Injury

Immediate Surgical Management of Traumatic Dislocation of the Eye Globe into the Maxillary Sinus: Report of a Rare Case and Literature Review

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