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Oribital floor fractures: a retrospective study
Annals of Ophthalmology
|September 1, 1976
Summary
Orbital floor fractures can cause ocular damage. Surgical repair has a low incidence of visual acuity loss, but comminuted fractures increase risks of late enophthalmos and diplopia.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Maxillofacial Surgery
Background:
- Orbital floor fractures are common facial injuries.
- Associated ocular or orbital adnexal damage occurs in a significant percentage of patients.
- Understanding sequelae is crucial for effective management.
Purpose of the Study:
- To analyze variables associated with orbital floor fractures.
- To evaluate outcomes following surgical repair.
- To identify risk factors for late complications such as enophthalmos and diplopia.
Main Methods:
- Retrospective review of 365 orbital floor fracture cases.
- Analysis of patient data including fracture type, associated injuries, and surgical procedures.
- Assessment of short-term and long-term outcomes, including visual acuity, diplopia, and enophthalmos.
Main Results:
- 32% of patients had ocular or orbital adnexal damage.
- Low incidence of decreased visual acuity and no implant extrusions post-repair.
- Comminuted fractures and prolapse of orbital tissue into the maxillary antrum were linked to late enophthalmos and diplopia.
- 19% incidence of late diplopia and 11% incidence of late enophthalmos were observed.
Conclusions:
- Surgical repair of orbital floor fractures is generally safe with good visual outcomes.
- Fracture complexity, specifically comminution and herniation into the antrum, predicts late enophthalmos and diplopia.
- Careful surgical planning is essential to minimize these long-term sequelae.