Volume : VII, Issue : III, March - 2018
Correlation between Incidence and Spectrum of Ophthalmic Injuries and Patterns of Craniofacial Fractures Involving Orbital Walls – A Prospective study
Dr. Dinesh H Shah, Dr. Srivalli Natarajan
Abstract :
Introduction & Purpose : The orbit is a four sided pyramid housing precious contents, the globe and its surrounding soft tissue adnexea. Even a modest change in the position of one of the bony walls can have a significant impact on the orbital volume and, thus, globe position. Aim : A study was designed to analyse the incidence and spectrum of ophthalmologic injuries in patients with craniofacial fractures involving orbital walls and draw a correlation for their severity scales. Materials and Method: 60 Subjects with craniofacial fractures with suspected orbital wall involvement underwent thorough clinical examination & plain radiographic assessment using Para Nasal Sinus x – ray , CT scan using axial and coronal section of the orbit. Specific code (FX MX RX LX) was assigned for pattern of fractures in each case. Ophthalmic findings were recorded and correlation drawn between patterns of fracture, their etiology and ophthalmic injuries and their severity scale . Statical analysis test done using Chi square Method. Result : A male subjets were Most commonly involved with age group between 20 to 30 years. Orbital floor fractures 81.08% (n=60) were most common followed by medial wall 68.91% (n=51), lateral wall 66.21% (n=49), and roof 32.43% (n=24). Minor ophthalmic injuries (60.14%) were mostly associated with two wall orbital fractures. While moderate (24.63%) and Major (15.21%) ophthalmic injuries were most involved when three orbital walls were fractured. RTA (73.3%) was the most common etiology followed by assault (15%) and falls (10%). There was a significant association observed between etiology and severity of ophthalmic injuries with a p< 0.000. Conclusion : A prompt and systematic ophthalmic examination is indispensible when there are two or more orbital wall fractures as 15.21% of these cases have major ophthalmic injuries which may or may not be grossly evident, but have the potential to cause a serious threat to the visual status.
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DOI : 10.36106/ijsr
Cite This Article:
Dr.Dinesh H Shah, Dr.Srivalli Natarajan, Correlation between Incidence and Spectrum of Ophthalmic Injuries and Patterns of Craniofacial Fractures Involving Orbital Walls – A Prospective study, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-3 | March-2018
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References :
Dr.Dinesh H Shah, Dr.Srivalli Natarajan, Correlation between Incidence and Spectrum of Ophthalmic Injuries and Patterns of Craniofacial Fractures Involving Orbital Walls – A Prospective study, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-3 | March-2018
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