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Three-Dimensional Reconstruction of Orbital Fractures
08:18

Three-Dimensional Reconstruction of Orbital Fractures

Published on: May 16, 2025

681

Orbital fractures in children: clinical features and management outcomes

Atanu Barh1, Meenakshi Swaminathan2, Bipasha Mukherjee1

  • 1Department of Orbit, Oculoplasty, Reconstructive and Aesthetics, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|October 27, 2018
PubMed

Insights

Pediatric orbital fractures are common, often caused by road accidents, with orbital floor fractures and double vision being prevalent. Early surgery effectively resolves double vision and motility issues in children.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Trauma Surgery

Background:

  • Orbital fractures represent a significant challenge in pediatric trauma management.
  • Understanding the specific characteristics and outcomes in children is crucial for effective treatment.

Purpose of the Study:

  • To detail the clinical features of orbital fractures in pediatric patients.
  • To evaluate the management strategies and outcomes for these injuries.

Main Methods:

  • Retrospective review of medical records for pediatric patients (<18 years) with orbital fractures.
  • Data collection included injury cause, imaging, clinical presentation, management, and outcomes over a 15-year period.

Main Results:

  • 52 pediatric patients were analyzed; road traffic accidents were the leading cause.
  • Orbital floor fractures were most common (81%), presenting frequently with diplopia (52%).
  • Extraocular muscle entrapment (56%) was the primary surgical indication; early intervention (within 15 days) led to complete diplopia resolution.

Conclusions:

  • Orbital floor fractures are the most frequent type in children, often presenting as trapdoor fractures with diplopia.
  • Prompt surgical intervention is key to resolving ocular motility limitations and diplopia in pediatric orbital fractures.
Abstract

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