Related Experiment Video
Updated: Nov 9, 2025
07:27
Anterior Segment Organ Culture Platform for Tracking Open Globe Injuries and Therapeutic Performance
Published on: August 25, 2021
2.1K
Multiple Approaches for Managing Complex Ophthalmic Blunt Trauma: A Case Report.
Yunia Irawati1,2, Soefiandi Soedarman3, Alia Arianti4
1Division of Plastic and Reconstructive Surgery, Department of Ophthalmology, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.
International Medical Case Reports Journal
|April 9, 2021
Summary
A single-step surgery successfully repaired complex blunt facial trauma, including eye and nasal injuries. However, visual acuity remained suboptimal due to traumatic optic neuropathy, highlighting risks in severe cases.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Facial Reconstruction
Background:
- Ophthalmic trauma, often blunt, affects ocular structures and surrounding areas.
- Prompt diagnosis and management are crucial for optimal outcomes in eye injuries.
Observation:
- A 45-year-old male sustained severe blunt force trauma to the left eye, resulting in naso-orbital-ethmoidal fractures, eyelid laceration with canalicular involvement, traumatic cataract, vitreous hemorrhage, and retinal detachment.
- A simultaneous one-step surgical approach was employed by ophthalmology and ENT surgeons during the COVID-19 pandemic.
Findings:
- The one-step surgery achieved anatomical success in repairing the naso-orbital-ethmoidal fracture and globe injuries, including retinal reattachment.
- Functional outcomes were unsatisfactory, with no improvement in visual acuity, attributed to traumatic optic neuropathy.
Implications:
- Single-step surgery can be beneficial for complex ophthalmic blunt trauma by reducing treatment delay.
- Complex injuries carry a higher risk of residual complications and functional impairment, necessitating careful pre-operative assessment and patient consent.
Keywords:
blunt traumacanalicular lacerationclosed-globe injuryfacial injurynasal fractureocular traumaMore Related Videos
Related Concept Videos
01:28Angle Closure Glaucoma: Treatment
926
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
926
01:25Glaucoma: Overview
1.0K
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.0K
01:26Flail Chest-II
342
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
342
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
261
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
261