Is specialized ophthalmologic evaluation necessary after orbital fractures? A prospective 64-case study
- 4 Downloads
Introduction and objective
The objective of this study was to determine whether there is a need for ophthalmologists to perform a specialized assessment after the occurrence of orbital fractures.
Materials and methods
Sixty-three patients (64 orbits) diagnosed with orbital fractures were evaluated preoperatively (up to 24 h after the trauma) and in 90-day postoperative period.
Eight injuries required either specialized clinical or surgical ophthalmologic intervention. Of these patients, four required emergency eye surgery: two patients with corneal lacerations had lesions larger than 2 mm. Two patients had extensive ocular lesions after multiple traumas with uveal exposure and without light perception. Another four patients (iridodialysis associated with lens subluxation, anterior uveitis, direct lesion on the optic nerve, and chorioretinitis sclopetaria) received conservative management.
This study concluded that a specialized ophthalmologic examination as soon as possible is important, particularly in cases in which the signs and symptoms of severity are associated. The non-ophthalmologist surgeon must have the basic medical knowledge required to provide basic primary ophthalmologic care and to discern the severity of the injury.
KeywordsOrbital fracture Diagnostic technique Ophthalmology Orbit
The authors would like to thank Danielle J. Deremo Cosimo, CT, for her translation of the article from Portuguese to English.
R.M: Study design; Head surgeon; Manuscript preparation. AJT: Surgeon recruitment, manuscript revision; F.Z: Ophthalmologist; P.R.S.L: Ophthalmologist.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Consent and ethics committee approval
This study was approved by the Ethics Committee of the State University of Campinas School of Medical Sciences (FCM-UNICAMP), and all participants signed an informed consent agreement.
Informed consent was obtained from all individual participants included in the study.
- 9.American Trauma Society. Trauma center levels explained. 2016. [Online]. Available at: http://www.amtrauma.org/?page=traumale vels. Accessed July 30, 2016
- 13.Gossman MD, Roberts DM, Barr CC (1992) Ophthalmic aspects of orbital injury: a comprehensive diagnostic and management approach. Clin Plast Surg 19:71–85Google Scholar