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Journal of Accident & Emergency Medicine logoLink to Journal of Accident & Emergency Medicine
. 1995 Dec;12(4):273–275. doi: 10.1136/emj.12.4.273

Orbital blow-out fractures: long-term visual outcome of associated ocular injuries.

D G Jayamanne 1, R F Igillie 1
PMCID: PMC1342579  PMID: 8775956

Abstract

Severe ocular injuries are uncommon in patients with pure orbital blow-out fractures. Over a 3-year period, 45 patients with radiologically proved blow-out fractures were reviewed by an ophthalmologist. Decrease in visual acuity was the main clinical finding accompanying significant eye injury. Although most eye injuries were transient, early ophthalmic assessment is recommended to exclude potentially serious complications such as traumatic optic neuropathy. Troublesome diplopia may delay rapid rehabilitation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CONVERSE J. M., SMITH B. Enophthalmos and diplopia in fractures of the orbital floor. Br J Plast Surg. 1957 Jan;9(4):265–274. doi: 10.1016/s0007-1226(56)80050-7. [DOI] [PubMed] [Google Scholar]
  2. Catone G. A., Morrissette M. P., Carlson E. R. A retrospective study of untreated orbital blow-out fractures. J Oral Maxillofac Surg. 1988 Dec;46(12):1033–1038. doi: 10.1016/0278-2391(88)90446-6. [DOI] [PubMed] [Google Scholar]
  3. Holt J. E., Holt G. R., Blodgett J. M. Ocular injuries sustained during blunt facial trauma. Ophthalmology. 1983 Jan;90(1):14–18. doi: 10.1016/s0161-6420(83)34597-8. [DOI] [PubMed] [Google Scholar]
  4. Joseph M. P., Lessell S., Rizzo J., Momose K. J. Extracranial optic nerve decompression for traumatic optic neuropathy. Arch Ophthalmol. 1990 Aug;108(8):1091–1093. doi: 10.1001/archopht.1990.01070100047032. [DOI] [PubMed] [Google Scholar]
  5. Ketchum L. D., Ferris B., Masters F. W. Blindness without direct injury to the globe: a complication of facial fractures. Plast Reconstr Surg. 1976 Aug;58(2):187–191. doi: 10.1097/00006534-197608000-00008. [DOI] [PubMed] [Google Scholar]
  6. Luce E. A., Tubb T. D., Moore A. M. Review of 1,000 major facial fractures and associated injuries. Plast Reconstr Surg. 1979 Jan;63(1):26–30. doi: 10.1097/00006534-197901000-00005. [DOI] [PubMed] [Google Scholar]
  7. Manson P. N., Grivas A., Rosenbaum A., Vannier M., Zinreich J., Iliff N. Studies on enophthalmos: II. The measurement of orbital injuries and their treatment by quantitative computed tomography. Plast Reconstr Surg. 1986 Feb;77(2):203–214. [PubMed] [Google Scholar]
  8. Miller N. R. The management of traumatic optic neuropathy. Arch Ophthalmol. 1990 Aug;108(8):1086–1087. doi: 10.1001/archopht.1990.01070100042030. [DOI] [PubMed] [Google Scholar]
  9. Pearl R. M. Treatment of enophthalmos. Clin Plast Surg. 1992 Jan;19(1):99–111. [PubMed] [Google Scholar]
  10. Putterman A. M., Stevens T., Urist M. J. Nonsurgical management of blow-out fractures of the orbital floor. Am J Ophthalmol. 1974 Feb;77(2):232–239. doi: 10.1016/0002-9394(74)90679-5. [DOI] [PubMed] [Google Scholar]
  11. Spoor T. C., Hartel W. C., Lensink D. B., Wilkinson M. J. Treatment of traumatic optic neuropathy with corticosteroids. Am J Ophthalmol. 1990 Dec 15;110(6):665–669. doi: 10.1016/s0002-9394(14)77065-5. [DOI] [PubMed] [Google Scholar]
  12. Steinsapir K. D., Goldberg R. A. Traumatic optic neuropathy. Surv Ophthalmol. 1994 May-Jun;38(6):487–518. doi: 10.1016/0039-6257(94)90145-7. [DOI] [PubMed] [Google Scholar]
  13. al-Qurainy I. A., Stassen L. F., Dutton G. N., Moos K. F., el-Attar A. Diplopia following midfacial fractures. Br J Oral Maxillofac Surg. 1991 Oct;29(5):302–307. doi: 10.1016/0266-4356(91)90115-l. [DOI] [PubMed] [Google Scholar]
  14. al-Qurainy I. A., Stassen L. F., Dutton G. N., Moos K. F., el-Attar A. The characteristics of midfacial fractures and the association with ocular injury: a prospective study. Br J Oral Maxillofac Surg. 1991 Oct;29(5):291–301. doi: 10.1016/0266-4356(91)90114-k. [DOI] [PubMed] [Google Scholar]

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