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Orbital and optic nerve trauma.

A A McNab1

  • 1Orbital Plastic and Lacrimal Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, 32 Gisborne Street, East Victoria 3002, Australia. amcnab@medeserv.com.au

World Journal of Surgery
|September 27, 2001
PubMed
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Radiological assessment of orbital floor fractures has improved, aiding in enophthalmos prediction. Early surgery is recommended for specific entrapment cases in young patients, while optic nerve trauma management remains challenging.

Area of Science:

  • Ophthalmology
  • Radiology
  • Trauma Surgery

Background:

  • Orbital floor fractures require accurate assessment for optimal patient outcomes.
  • Advances in imaging and materials have improved management strategies.
  • Optic nerve trauma presents complex challenges in diagnosis and treatment.

Purpose of the Study:

  • To review recent advancements in the radiological assessment and classification of orbital floor fractures.
  • To discuss the role of alloplastic materials in orbital reconstruction.
  • To evaluate current understanding and management of optic nerve trauma.

Main Methods:

  • Review of recent literature on orbital floor fractures and associated injuries.
  • Analysis of radiological techniques for assessing orbital volume and fracture patterns.

Related Experiment Videos

  • Evaluation of clinical outcomes related to surgical interventions and materials used.

    • Main Results:

    • Improved correlation between orbital volume expansion and enophthalmos.
    • Identification of specific fracture types (undisplaced, tight entrapment) in young patients benefiting from early surgery.
    • Increased availability of alloplastic materials for orbital reconstruction, with ongoing reports of complications.
    • Limited evidence supporting optic nerve decompression or high-dose corticosteroids for optic nerve trauma.

    Conclusions:

    • Radiological assessment and classification of orbital floor fractures have advanced significantly.
    • Early surgical intervention is crucial for specific entrapment fracture patterns.
    • Management of optic nerve trauma requires further investigation, with current treatments showing no definitive benefit.