Associated Ophthalmic Injuries in Patients With Fractures of the Midface

Area of Science:

• Ophthalmology
• Trauma Surgery
• Facial Reconstruction

Background:

• Ophthalmic injuries frequently accompany facial fractures, impacting patient outcomes.
• The spectrum and frequency of these injuries vary, necessitating focused research.

Purpose of the Study:

• To analyze the frequency and patterns of ophthalmic injuries in patients undergoing operative treatment for midface fractures.
• To identify common injury types, causes, and long-term sequelae.

Main Methods:

• Retrospective analysis of 282 patients with operatively treated midface fractures (December 2014 - November 2017).
• Data collected included demographics, fracture details, and ophthalmic injury assessments.
• Statistical analysis was performed on the gathered data.

Main Results:

• Zygomaticomaxillary complex and orbital floor fractures were most common, often caused by falls or violence.
• Chemosis and subconjunctival bleeding were frequent minor injuries.
• Diplopia was the most prevalent long-term issue, persisting in 12.8% of cases at 3 months; major injuries like optic neuropathy were rare.

Conclusions:

• Minor ophthalmic injuries associated with midface trauma typically resolve without lasting effects.
• Persistent diplopia is a significant concern, potentially leading to long-term occupational consequences.
• Interdisciplinary collaboration is crucial for managing midface fractures to prevent permanent visual impairment.