Orbital Wall Fractures and Ocular Injury: Impact on Management

Dallin N. Christensen, William D. Wagner, Dennis J. Maar, Valerie Shostrom, Jason Untrauer, Rao V. Chundury, Katie Geelan-Hansen

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Orbital wall fractures are often associated with concomitant ocular injury. In some cases, detection and treatment of such injuries requires ophthalmology evaluation. Study Objective: To identify a change in ocular management as a result of ophthalmology evaluation in patients with orbital wall fractures. Materials and Methods: Retrospective cohort, patients >18 years of age with orbital wall fracture, and prompt evaluation by an ophthalmologist from 2012 to 2020 in a tertiary Level 1 trauma center. Results: Fifty percent of patients had a moderate and/or severe ocular injury. Ophthalmology evaluation led to an ocular management change in 27% of patients. Patients with eyelid laceration, extra-ocular motion (EOM) abnormality, and pupillary defect were more likely to have a change in management. There was no delay of surgical bony fracture management. Conclusion: In patients with midface trauma including orbital wall fractures those with eyelid laceration, EOM abnormality, and pupillary defect were likely to undergo ocular management change as a result of ophthalmology consultation.

Original languageEnglish (US)
Pages (from-to)22-26
Number of pages5
JournalFacial Plastic Surgery and Aesthetic Medicine
Volume25
Issue number1
DOIs
StatePublished - Feb 1 2023

ASJC Scopus subject areas

  • Surgery

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