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08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Ophthalmic injuries in orbito-zygomatic fractures
Nabeela Riaz1, Asad Aizaz Chatha1, Riaz Ahmad Warraich2
1Department of Oral and Maxillofacial Surgery, KEMU / Mayo Hospital, Lahore.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 20, 2014
Summary
Ophthalmic injuries frequently complicate orbito-zygomatic fractures, particularly orbital blow-out fractures. Early ophthalmology consultation is crucial for patients with midface fractures to manage these ocular complications.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Maxillofacial Surgery
Background:
- Orbito-zygomatic fractures are common facial injuries.
- Ophthalmic complications can significantly impact patient outcomes.
Purpose of the Study:
- To determine the incidence and severity of eye injuries in patients with orbito-zygomatic fractures.
- To analyze ophthalmic injury patterns across different fracture types.
Main Methods:
- A case series study was conducted.
- Patients were categorized into three groups based on fracture type: orbital blow-out, comminuted orbito-zygomatic, and simple zygomatic fractures.
- Ocular findings were documented for each patient.
Main Results:
- A total of 296 patients were analyzed.
- Ophthalmic injuries occurred in 20% of patients, with the highest frequency (60%) in the orbital blow-out fracture group.
- Common injuries included diplopia, enophthalmos, and various retinal and corneal pathologies.
Conclusions:
- Ophthalmic injuries are a frequent complication of orbito-zygomatic fractures.
- Orbital blow-out fractures present the highest risk for ocular complications.
- Ophthalmology consultation is recommended for all midface fracture patients.
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