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Evaluation of orbital injuries.

E H Bedrossian1

  • 1Wils Eye Hospital, Philadelphia, Pennsylvania 19107.

Advances in Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1987
PubMed
Summary

Evaluating orbital trauma requires a detailed patient history, physical exam, and imaging. Prompt diagnosis of orbital fractures and foreign bodies is crucial for effective treatment.

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Area of Science:

  • Ophthalmology
  • Emergency Medicine
  • Radiology

Background:

  • Orbital trauma encompasses diverse injuries, from soft tissue damage to severe fractures and foreign bodies.
  • Accurate assessment is vital for preventing long-term vision impairment and disfigurement.

Purpose of the Study:

  • To outline a systematic approach for evaluating orbital trauma.
  • To emphasize the diagnostic significance of patient history and physical examination.
  • To recommend appropriate radiographic studies for identifying orbital fractures and foreign bodies.

Main Methods:

  • Detailed patient history taking, focusing on injury mechanism and symptoms.
  • Comprehensive physical examination of the orbit and associated structures.
  • Selection and interpretation of specific radiographic modalities (e.g., CT scans).

Main Results:

  • Key historical details and physical findings correlate with specific orbital injuries.
  • Radiographic studies are essential for precise localization of fractures and foreign bodies.
  • Early and accurate diagnosis improves patient outcomes.

Conclusions:

  • A thorough history and physical examination are foundational for diagnosing orbital trauma.
  • Judicious use of radiographic imaging is critical for identifying and managing orbital fractures and foreign bodies.
  • Multidisciplinary evaluation ensures optimal management of complex orbital injuries.

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