Ocular injuries in midfacial fractures

Marín, I. Méndez; Tejero, Rosa; Domínguez, Manuel Fernández; Gutiérrez, Eduardo

doi:10.1076/orbi.17.1.41.7950

Cited by 26 publications

(13 citation statements)

References 2 publications

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“…We found the incidence of hyphema to be 0.55% and was seen in Le Fort III fractures. The incidence relates to the findings of other studies such as those done by Septa et al and Al-Qurainy et al, and few others, who reported it to be around 3.5% [8,21,23,25].…”

Section: Discussionsupporting

confidence: 83%

“…Occurrence of concomitant ocular injuries with maxillofacial fractures may range from as low as 2.7% to as high as 90% [21][22][23][24]. In our study, out of the total 181 patients, 161 (88.9%) patients had some type of ocular injuries.…”

Section: Discussionmentioning

confidence: 52%

“…One case was due to complete avulsion of the globe, two were due to globe rupture, two due to intraorbital hemorrhage, one due to retrobulbar neuritis, one due to traumatic optic neuropathy, one due to lens subluxation and retinal detachment, and one due to uveal, lens, and vitreous incarceration. The incidence reported in literature is between 0.3% and 3.5% [8,21,23,24]. The loss of vision could be consequential to injury to the globe, optic nerve, or visual pathway.…”

Section: Discussionmentioning

confidence: 99%

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A Clinical Study of the Evaluation and Assessment of the Etiology and Patterns of Ocular Injuries in Midfacial Trauma in a Tertiary Care Hospital

Umarane¹,

Kale²,

Tenagi³

et al. 2020

Cureus

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The aim is to study the pattern of ocular injuries in midfacial trauma and to evaluate the overall incidence of ophthalmic injury of any severity following maxillofacial trauma. Methods and Materials The maxillofacial surgeon conducted routine facial examination of patients with midfacial fractures, which also included a detailed ophthalmologic examination of patients, at the time of initial presentation. These patients were then further evaluated by an ophthalmologist for thorough examination of the eye. Results The total number of recorded midface maxillofacial trauma cases was 181. Out of 181 patients, 161 had ocular injuries. Among 181 cases, 161 (88.95%) cases were due to road traffic accidents, which was the prime etiologic factor. Out of total 181 patients, 172 (95.03%) were males and 9 (4.97%) were females. The maximum number of cases were of zygomaticomaxillary complex fractures (44.75%) followed by nasal bone fractures (21.5%). Periorbital ecchymosis accounted for the maximum number of cases, amounting to 61.88%. Loss of vision or blindness was seen in eight (4.42%) patients. Conclusions The study stresses further on the importance of long-term and continuous data collection and record management of trauma patients, which may help health care providers with necessary information to develop treatment protocols and device measures for the prevention of complications.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

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A Clinical Study of the Evaluation and Assessment of the Etiology and Patterns of Ocular Injuries in Midfacial Trauma in a Tertiary Care Hospital

Umarane¹,

Kale²,

Tenagi³

et al. 2020

Cureus

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“…Most common ophthalmic causes of conjunctival chemosis include orbital trauma [2], orbital pseudotumor [3], scleritis [4], and transconjunctival orbital decompression [5]. To the best of our knowledge, our report is the first to describe prominent conjunctival chemosis as a presenting clinical feature of SO.…”

Section: Discussionmentioning

confidence: 96%

Sympathetic ophthalmia manifesting with conjunctival chemosis

et al. 2009

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“…One of the main, serious intraoperative complications of cataract surgery is the posterior dislocation of the lens or its nucleus, caused by capsular rupture or zonular disinsertion. This complication is common in patients who have experienced previous zonular fragility and is present in numerous etiologies,2,3 in order of frequency: the zonular degeneration of pseudo-exfoliative syndromes (estimated at 25–30% of the causes in Algeria),4–7 eye injuries,7,8 strong myopia,7 history of vitreoretinal surgery, fibroelastic tissue pathologies in Marfan’s disease7,9 or homocystinuria 10…”

Section: Introductionmentioning

confidence: 99%

<p>Phacoemulsification And Zonular Weakness: Contribution Of The Capsular Tension Ring With A Thread</p>

Oudjani

Renault

Courrier

et al. 2019

OPTH

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PurposeCataract surgery in patients suffering from zonular weakness can be difficult and lead to severe complications. The insertion of capsular tension rings to stabilize the capsular bag along all steps of the phacoemulsification is an option, although can be difficult to remove intra- or post-operatively. A capsular tension ring with a thread is a safe alternative, which allows its easy removal at the end of the surgery.Patients and methodsRetrospective study of regular practice on 14 patients with zonular weakness who underwent phacoemulsification. Among them, 12 suffered from pseudo-exfoliative syndrome and 2 suffered from a post-traumatic cataract. All benefited from the use of a capsular tension ring with a thread during their surgery.ResultsAll surgeries were successful. Capsular tension ring with a thread was all removed at the end of surgery without any complication.ConclusionThe addition of a thread to the capsular tension ring is a simple modification that enhances its use by facilitating its intraoperative removal if necessary or at the end of surgery.

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Ocular injuries in midfacial fractures

Cited by 26 publications

References 2 publications

A Clinical Study of the Evaluation and Assessment of the Etiology and Patterns of Ocular Injuries in Midfacial Trauma in a Tertiary Care Hospital

A Clinical Study of the Evaluation and Assessment of the Etiology and Patterns of Ocular Injuries in Midfacial Trauma in a Tertiary Care Hospital

Sympathetic ophthalmia manifesting with conjunctival chemosis

<p>Phacoemulsification And Zonular Weakness: Contribution Of The Capsular Tension Ring With A Thread</p>

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