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Rat Model of Photochemically-Induced Posterior Ischemic Optic Neuropathy
Published on: November 29, 2015
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Facial Fracture Patterns Associated with Traumatic Optic Neuropathy
Shahrooz S Kelishadi1, Matthew R Zeiderman2, Karan Chopra3
1SSK Plastic and Reconstructive Surgery, Newport Beach, California.
Craniomaxillofacial Trauma & Reconstruction
|March 1, 2019
Summary
Traumatic optic neuropathy (TON) is rare, with diagnosis complicated by varied injury patterns. This study identified five distinct fracture pattern groups associated with TON, highlighting common facial bone fractures.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Facial Fracture Analysis
Background:
- Traumatic optic neuropathy (TON) is an uncommon but severe condition.
- Diagnosis of TON is challenging due to diverse injury mechanisms and patient presentations.
- The relationship between specific facial fracture patterns and TON has not been previously evaluated.
Purpose of the Study:
- To retrospectively analyze and classify fracture patterns in patients diagnosed with traumatic optic neuropathy.
- To identify common fracture configurations associated with TON.
- To establish potential correlations between fracture types and the occurrence of TON.
Main Methods:
- Retrospective review of 42 patients with TON, with 33 included for fracture pattern analysis.
- Data collected included patient demographics, injury mechanism, and detailed fracture patterns.
- Cluster analysis was employed to group patients based on similar fracture patterns.
Main Results:
- Five distinct fracture pattern groups associated with TON were identified.
- Commonly observed fractures involved the zygoma, frontal bone, nasal bones, and orbit.
- A significant proportion (45%) of patients experienced penetrating trauma; combined frontal, nasal, and orbital fractures were particularly concerning.
Conclusions:
- This study establishes five unique fracture pattern classifications linked to traumatic optic neuropathy.
- Zygomatic, frontal, nasal, and orbital fractures are frequently implicated in TON.
- Close ophthalmic evaluation is crucial for patients presenting with combined frontal, nasal, and orbital fractures.
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