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Ocular Injuries Associated with Midface Fractures: A 5 Year Survey
G C Rajkumar1, D P Ashwin1, Rohit Singh1
1Department of Oral and Maxillofacial Surgery, Vokkaligara Sangha Dental College and Hospital and Research Centre, KR Road, VV Puram, Bengaluru, India.
Journal of Maxillofacial and Oral Surgery
|November 26, 2015
Summary
Maxillofacial trauma, often from road incidents, can cause severe eye injuries and blindness. Prompt ophthalmic evaluation is crucial for patients with facial fractures to prevent vision loss.
Area of Science:
- Ophthalmology
- Oral and Maxillofacial Surgery
- Trauma Surgery
Background:
- Maxillofacial trauma presents a significant risk for associated ocular injuries.
- Facial fractures, particularly those involving the zygomaticomaxillary complex, are frequently linked to ophthalmic complications.
Purpose of the Study:
- To retrospectively analyze the incidence and patterns of ocular injuries following maxillofacial trauma.
- To identify the common causes and fracture types associated with eye injuries in trauma patients.
Main Methods:
- Retrospective analysis of patient data from 2008 to 2013.
- Inclusion of patients reporting to the Department of Oral and Maxillofacial Surgery with facial trauma.
Main Results:
- Road traffic incidents were the primary cause of maxillofacial trauma (55.46%).
- Zygomaticomaxillary complex fractures were most commonly associated with ocular injuries (67.22%).
- Severe visual impairment occurred in 5 patients, and blindness in 0.84% of the 119 patients studied.
Conclusions:
- Maxillofacial fractures, including Lefort II, Lefort III, and zygomaticomaxillary complex fractures, can lead to ophthalmic injuries and potential blindness.
- Comprehensive ophthalmic examinations are essential for all patients with maxillofacial trauma.
- Early detection and intervention are critical for managing suspected cases and preventing visual impairment.
