Chorioretinal Folds and a Macular Hole Secondary to Craniofacial Surgery

Hertle, Richard W.; Leahey, Alan B.; Bloom, Steven M.; Schaffer, David B.; Bartlett, Scott

doi:10.1097/00002341-199012000-00010

Cited by 8 publications

(5 citation statements)

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“…Although delayed surgical intervention has been described with satisfactory outcomes, the authors' findings demonstrate favorable visual outcomes and resolution of choroidal folds with prompt surgical intervention, except in cases where ocular injury such as choroidal rupture had already occurred. 22,35 While isolated blow-in fractures are rare, these injuries are more frequently associated with craniofacial trauma and neurological injury. 19 Therefore, the decision and timing to surgically intervene should incorporate a multidisciplinary approach to take in account the patient's clinical status and full extent of injuries.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of patients were treated surgically (85%), with subsequent improvements in VA (89%), diplopia (100%), and motility (100%). 2,11,13,20,22,29–31,34,35…”

Section: Discussionmentioning

confidence: 99%

“…The majority of patients were treated surgically (85%), with subsequent improvements in VA (89%), diplopia (100%), and motility (100%). 2,11,13,20,22,[29][30][31]34,35 In addition to their potential to cause globe compression, orbital blow-in fractures may be associated with other traumatic sequelae. In the largest reported series of blow-in fractures, 44% of patients exhibited head injury and 73% had other facial fractures.…”

Section: Discussionmentioning

confidence: 99%

“…Ten articles were ultimately included for data extraction. [1][2][3][5][6][7][11][12][13][14][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]…”

Section: Literature Reviewmentioning

confidence: 99%

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Globe Compression by Bone Fragments in Orbital Blow-in Fractures: A Case Series and Systematic Review

Park

North

Rebhun

et al. 2022

Ophthalmic Plastic &Amp; Reconstructive Surgery

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The purpose of this study was to describe the clinical characteristics, management, and outcomes of orbital blow-in fractures involving compression of the globe by bone fragments.Methods: A retrospective case series and systematic literature review were performed.Results: Three male patients (mean age 29 years) with orbital blow-in fractures causing globe indentation presented with extraocular movement restriction, choroidal folds, and B-scan ultrasonography demonstrating deformation of the globe contour by a hyperechoic bone fragment. All underwent surgical repair within 1 day of presentation resulting in improved visual outcomes. An additional 10 cases were identified in the literature review. The majority of patients were male (80%) with a mean age of 29 years. Fractures originated primarily from the lateral orbital wall (50%) or the orbital roof (40%). Globe compression was evident on CT of the orbit (100%) and ultrasonography (30%). Common presenting signs included decreased visual acuity (70%), restriction of supraduction (40%) or abduction (40%), choroidal folds (30%), brow laceration (40%), periorbital edema (40%), and hypoglobus (40%). Most patients underwent surgical intervention (80%) involving fracture reduction (50%) or fragment removal (38%). Reported postsurgical outcomes were excellent with resolution of diplopia, motility, and visual acuity.Conclusion: Globe indentation from blow-in fractures are rare. Clinicians should be suspicious in cases of high-velocity trauma to the superolateral orbit with hypoglobus, motility limitation, and indentation of the globe upon dilated exam. Prompt diagnosis and early surgical removal of the compressive orbital bone fragments in a multidisciplinary fashion can lead to good visual, functional, and cosmetic outcomes.

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Section: Discussionmentioning

confidence: 99%

“…The majority of patients were treated surgically (85%), with subsequent improvements in VA (89%), diplopia (100%), and motility (100%). 2,11,13,20,22,29–31,34,35…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Ten articles were ultimately included for data extraction. [1][2][3][5][6][7][11][12][13][14][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]…”

Section: Literature Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Globe Compression by Bone Fragments in Orbital Blow-in Fractures: A Case Series and Systematic Review

Park

North

Rebhun

et al. 2022

Ophthalmic Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…It is well known that direct ocular compression by an orbital mass should be included in the differential diagnosis of unilateral chorioretinal folds. [1][2][3][4] Bilateral causes of chorioretinal folds include macular degeneration, hyperopia, idiopathic hypotony, scleritis, thyroid eye disease, uveitis, and choroiditis. 5 Sinus mucoceles have not been implicated in cases of bilateral chorioretinal folds.…”

Section: Commentmentioning

confidence: 99%