Etiology and pattern of orbital fractures in a teaching hospital
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2017, Vol 3, Issue 3
Abstract
Purpose: To explore the etiological factors and pattern of orbital injuries in patients of trauma. Materials and Method: A prospective case series of 176 patients of orbital trauma diagnosed by computerized tomography. All patients were evaluated for demographic and injury profile. After thorough clinical examination, injury and fracture pattern were analyzed by using multi-slice CT Scan, utilizing three- dimensional visualization of computed tomography images. Results: Hundred eighty two eyes of 176 patients were evaluated. There were 81.82% male and 18.18% females. 61.36% victims were between 16-45 years of age. Majority of victims belonged to rural background (73.86%) and student (34.60%) by occupation. Based on the etiology, road traffic accident (37.50%) were most common, followed by assault (22.16%), sport related injuries (15.90%) and fall/ domestic accidents (10.23%). Orbital fractures associated with craniofacial fracture (51.71%) were more common than isolated orbital fractures (18.75%). Most common mode of injury was collision/ impact (48.86%). Majority of patients had unilateral orbital fracture (96.60%); 59.66% sustained left sided injury. Most of the eyes (51.95% right eye & 27.62% left eye) had single orbital wall fracture and pan orbital wall fracture was more commonly observed in right eye injury (5.20%). Among the right eye injury, most common orbital wall fracture was floor fracture (64.93%) while in left eye injury most common was roof fracture (56.19%). Most common type of fracture was linear/ minimally displaced break (48.86%) while multiple comminuted severely displaced fracture was observed in 40.91% cases. At the time of presentation visual impairment (visual acuity 6/18 – 6/60) was observed in 23 right eye and 40 left eye and blindness (< 6/60 – NO PL) was seen in 32 eyes (right & left both). Conclusion: Orbital injuries are commonly caused by road traffic accidents. Orbital injuries are more likely to occur in young adult male, and be associated with craniofacial injuries. Because of complex nature of craniofacial fractures, which may be comminuted, involving multiple bone and or associated with soft tissue edema / neurologic injuries. Management of such orbital injuries are more challenging and require a multidisciplinary approach.
Authors and Affiliations
Rajendra P. Maurya, Pradeep Jain, Virendra Pratap Singh, Mahendra Kumar Singh, C. P. Mishra, Ashish Verma, P. R. Sen
Keywords
Related Articles
- EP ID EP293243
- DOI 10.18231/2455-8478.2017.0054
- Views 86
- Downloads 0
Ectopic cilia: A rare entity
Ectopic cilia are rare in human. Only few cases have been reported till now. We report first case of ectopic cilia from Garhwal region of Uttarakhand, India. Our case was a 10 year old boy, having ectopic cilia on the pa...
Clinical and histological profile of orbito-ocular masses in Ekiti
Purpose: To review the clinical and histological profile of patients with orbito-ocular masses in order to plan preventive strategies for ocular deformity and loss of life from these lesions. Methods: The clinic and thea...
Upper lid dermatochalasis and transcutaneous blepharoplasty
Redundant and lax eyelid skin and muscle is known as dermatochalasis. It is a degenerative disease of skin and muscles of lids and is commonly seen in elderly persons and occasionally in young adults. Gravity, loss of el...
A study of modified and economical approach to canalicular tear using intravenous cannula in tertiary care centre
Purpose Study aims to demonstrate and evaluate a modified and economical way of repairing canalicular tear using intravenous cannula in tertiary care centreMaterials and Methods 32 patients with canalicular tear admitted...
Comparison between sutureless conjuctival autograft using autologous blood versus sutured limbal conjunctival autograft in primary pterygium surgery
Pterygium is an abnormal sub-conjunctival fibrovascular overgrowth, commonly seen in tropical countries as this population has increased exposure to light, dust, wind and heat. The main treatment of pterygium is surgica...