Orbital rim fracture1/13/2024 The rates of injury were also compared between pure orbital floor fractures (only floor) and impure (floor and rim). Infraorbital anesthesia in floor fracture IOP straight and upgaze (may possibly inc w/IR entrapment) Orbit/lid emphysema 2nd to sinus wall fracture In contrast, since our hospital protocol requires that all orbital fractures receive an ophthalmic examination, we believe that our results are unbiased the true incidence of intraocular injury is approximately 17%.ĭiplopia field: limit on up or downgaze: r/o IR entrapment vs hemorrhage/ edema alone: CTEvaluation - Full Ophthalmic Exam Plus It is likely that the specialty of the physician conducting the research may possibly account for the inconsistencies. Of these, there is no agreement as to the incidence of injury. While numerous studies have reminded the community of the importance of the ophthalmic examination in patients who sustain orbital fractures, to date, there have been only a handful of studies which focus on the incidence of intraocular injuries in patients with fracturesOcular Injury Intraocular injuries occur in a wide pattern when orbital bones are fractured.The relationship, if any, between the purity of orbital fractures and their secondary ocular problems has not been elucidated to date. Noted rates of intraocular injury range from 1% to nearly 70% More severe injuries such as optic nerve trauma and retinal detachments have also been reported. The ocular Sequelae of mid-facial fractures are usually considered to be edema and ecchymosis of the soft tissues, subconjunctival hemorrhage, diplopia, iritis, retinal edema, Ptosis, enophthalmos, ocular muscle paresis, mechanical restriction of ocular movement and nasolacrimal disturbances. A wide range o f ocular trauma can occur concomitant with orbital fractures.
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