Ocular injuries in 367 patients with middle and upper third facial trauma: experience in Tehran

The Journal of Craniofacial Surgery
A A Taher

Abstract

Ocular injuries are commonly associated with facial injuries. I provide a retrospective study of 367 patients who sustained severe major ocular injuries associated with middle and upper third facial injuries. These patients were selected from 1,608 patients who sustained different types of craniomaxillofacial injuries over a 7-year period (1984 to 1990). The characteristics of the ocular injuries sustained were related to the cause of the facial trauma. More than 52.04% of severe ocular injuries were associated with isolated lateral midface injuries, 42.5% were associated with middle-third injuries, and 5.44% were associated with upper third facial injuries. Among all patients 29.97% lost their vision partially or completely. The major causative factor was firearms during the Iraq-Iran war (64.03%) followed by road traffic accidents (40.15%). Sports caused a low incidence of ocular injuries. Ocular injuries were treated by the ophthalmic surgeons in cooperation with the maxillofacial surgeons and the neurosurgeons. There was an increase in the residual complications in facial or ocular injuries resulting primarily from the evacuation system. Although the psychological problems related to the ocular injuries and residual periorb...Continue Reading

Citations

Dec 25, 2009·BMC Public Health·Davoud Khorasani-ZavarehBo J A Haglund
Feb 4, 2005·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Mohammad Hussein Ansari
May 20, 2017·Craniomaxillofacial Trauma & Reconstruction·Constantinus PolitisTitiaan Dormaar
Mar 21, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Dongmei HeEdward Ellis

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