PMID: 26774807Jan 1, 2013Paper

Reduction in visual acuity and intraocular injuries in orbital floor fracture

Folia medica Cracoviensia
Piotr KoryczanGrażyna Wyszyńska-Pawelec

Abstract

Blow-out fracture of the floor of the orbit is an increasingly recognized trauma. It may be an isolated injury, but because of various mechanisms may be also accompanied by the damage of other components of the visual system. The triad of clinical symptoms in blow-out fracture of the orbital floor includes: double vision, the enopthalmos and impaired sensation in the area of infraorbital nerve. Change of the position of the eyeball may lead to displacement and stretching of the optic nerve, which may result in the traumatic optic neuropathy. The aim of this paper is the evaluation of effectiveness of surgical and conservative tactics in the treatment of blow-out fracture of the floor of the orbit, accompanied by intraocular injuries, on the basis of retrospective study of the patients treated from 1971 to 2014. Based on a retrospective analysis of medical records of a group of 752 patients treated in our Department due to blow-out fracture of the orbit, during 44 years (1971-2015), intrabulbar injuries were found in 98 (13%) patients, and decrease in visual acuity was observed in 84 (11.2%) patients. In patients with decreased visual acuity values of sight acuity ranged from light perception to 0.8, in 3 patients the blow-out f...Continue Reading

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