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Related Experiment Videos

Update on orbital trauma.

Eli L Chang1, C Robert Bernardino

  • 1Department of Ophthalmology, Doheny Eye Institute, USC Keck School of Medicine, Los Angeles, California, USA.

Current Opinion in Ophthalmology
|January 1, 2005
PubMed
Summary
This summary is machine-generated.

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Recent advances in imaging like computed tomography and ultrasonography improve orbital fracture evaluation and surgical planning. Endoscopic techniques offer new repair options, though traumatic optic neuropathy management remains challenging.

Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Emergency Medicine

Background:

  • Orbital trauma encompasses fractures of the zygoma and orbit, often associated with ocular injuries.
  • Prompt evaluation and management are crucial for optimal outcomes, especially in cases with oculocardiac reflex or entrapped tissues.

Purpose of the Study:

  • To review recent developments in the evaluation and treatment of orbital trauma.
  • To identify advancements in managing zygomatic and orbital fractures, and traumatic optic neuropathy.

Main Methods:

  • A MEDLINE search was conducted using keywords: zygoma, orbital fracture, and traumatic optic neuropathy.
  • The review covered literature published from April 2003 to March 2004.

Main Results:

Related Experiment Videos

  • Computed tomography (CT) aids preoperative volume assessment for surgical planning of orbital fractures.
  • Ultrasonography is effective for visualizing anterior orbital fractures, including zygoma and rim trauma.
  • Concurrent ocular trauma is common in orbital fractures; urgent repair is indicated for specific clinical signs like oculocardiac reflex or entrapped soft tissue.
  • Endoscopic-assisted repair presents a viable alternative approach for orbital fracture management.

Conclusions:

  • CT and ultrasonography enhance preoperative evaluation and intraoperative repair of orbital fractures.
  • Endoscopic techniques provide new avenues for orbital fracture repair.
  • Novel materials are available for orbital reconstruction.
  • Limited progress has been made in managing traumatic optic neuropathy.