Powell Joel, Moe Justine, Steed Martin B
Private Practice, 18 Acadia Street, Dartmouth, Nova Scotia B2Y 4H3, Canada.
Oral Maxillofac Surg Clin North Am. 2012 Nov;24(4):557-72. doi: 10.1016/j.coms.2012.07.001. Epub 2012 Sep 18.
Maxillofacial trauma involving injury to the eye and periorbital structures is not uncommon. Oral and maxillofacial surgeons are frequently called on to assess and operate in and around the orbit; it is thus critical to be proficient around the eye because surgical interventions and even physical examinations can cause injury and loss of vision. This article reviews the systematic and accurate assessment of the eye and adnexal structures in a manner appropriate for the oral and maxillofacial surgeon, with a focus on proper examination technique and a high sensitivity for potentially critical abnormalities. A practical approach to performing and recording a detailed ophthalmologic examination is presented, including the assessment of vision, pupillary function, intraocular pressure, and ocular motility, as well as the slit lamp and direct fundoscopic examinations.
涉及眼部及眶周结构损伤的颌面创伤并不少见。口腔颌面外科医生经常被要求对眼眶及其周围进行评估和手术；因此，熟练掌握眼部相关操作至关重要，因为手术干预甚至体格检查都可能导致损伤和视力丧失。本文以适合口腔颌面外科医生的方式，综述了对眼部及附属结构进行系统且准确的评估，重点在于正确的检查技术以及对潜在关键异常的高敏感性。本文还介绍了进行和记录详细眼科检查的实用方法，包括视力、瞳孔功能、眼压和眼球运动的评估，以及裂隙灯检查和直接检眼镜检查。
