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Ophthalmic involvement in cranio-facial trauma
Summary
Ophthalmic complications like diplopia and vision loss are common after craniofacial trauma. Many patients experience persistent visual impairment and double vision despite treatment, highlighting the severity of these injuries.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Facial Reconstruction
Background:
- Craniofacial trauma frequently results in ophthalmic injuries.
- Understanding the spectrum of ocular involvement is crucial for patient outcomes.
Purpose of the Study:
- To investigate ophthalmic injuries in craniofacial trauma patients.
- To analyze visual and motility outcomes post-trauma.
Main Methods:
- Retrospective descriptive case study of 104 patients with craniofacial trauma.
- Data collected included injury type, fracture patterns, visual acuity, diplopia, and traumatic optic neuropathy.
Main Results:
- Road traffic accidents (36.5%) and industrial accidents (21%) were common causes.
- Diplopia (40%) and visual acuity disturbance (<6/60 in 23%) were prevalent.
- Traumatic optic neuropathy occurred in 20%, significantly higher with complex/basilar fractures.
Conclusions:
- Diplopia and visual disturbances are the most frequent ophthalmic issues in craniofacial trauma.
- A notable percentage of patients have poor vision and persistent diplopia post-treatment.