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Is specialized ophthalmologic evaluation necessary after orbital fractures? A prospective 64-case study

  • Renato Marano
  • Petterson Rayken Silva Lino
  • Fernando Zanetti
  • Alfio Jose Tincani
  • Laisa Oliveira
Original Article
  • 4 Downloads

Abstract

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.

Results

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.

Conclusion

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.

Keywords

Orbital fracture Diagnostic technique Ophthalmology Orbit 

Notes

Acknowledgments

The authors would like to thank Danielle J. Deremo Cosimo, CT, for her translation of the article from Portuguese to English.

Author contributions

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

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Renato Marano
    • 1
  • Petterson Rayken Silva Lino
    • 1
  • Fernando Zanetti
    • 1
  • Alfio Jose Tincani
    • 2
  • Laisa Oliveira
    • 3
  1. 1.Dr. Jayme Santos Neves State HospitalEspírito SantoBrazil
  2. 2.State University of Campinas School of Medical Sciences (FCM-UNICAMP)São PauloBrazil
  3. 3.FaesaVitóriaBrazil

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