Mittal Gaurav, Singh Neeraj, Suvarana Suraj, Mittal Shimona R
Department of Dentistry, VCSGGMS and RI, Srinagar, Pauri, Garhwal, Uttarakhand, India.
Natl J Maxillofac Surg. 2012 Jul;3(2):152-8. doi: 10.4103/0975-5950.111370.
Ophthalmic injuries commonly occur in patients with facial fractures. This study was set up to determine the incidence of ophthalmic injuries as assessed by an ophthalmologist, in patients who had sustained maxillofacial fractures.
To determine the incidence of ophthalmic injuries in maxillofacial fractures in Indian population.
A study of 136 patients who had sustained facial trauma sufficient to lead to a facial bone fracture was undertaken and the patients received a comprehensive examination by an ophthalmologist and an orthoptist within one week of injury. All the patients sustaining confirmed maxillofacial fractures were examined by an ophthalmologist for any associated ocular injury. The ophthalmic injuries were classified into three categories-mild, moderate, severe.
Ninety-three patients (68.3%) examined sustained eye injuries of various types. Of these, 61.2% were temporary or minor, 29.03% were moderate, and 9.6% were serious. The highest incidence was found in association with mid face fractures, i.e., 95.7%. Fifty-seven patients sustained 176 minor ophthalmologic injuries; 27 patients suffered moderately; 33 had severe ophthalmic injuries. Nine patients sustained severe eye injuries.
It is suggested that all traumas to the face, particularly above the level of the mouth, require a careful eye examination, including an estimation of visual acuity of each type.
眼部损伤常见于面部骨折患者。本研究旨在确定由眼科医生评估的颌面部骨折患者眼部损伤的发生率。
确定印度人群颌面部骨折中眼部损伤的发生率。
对136例因面部外伤导致面部骨折的患者进行了研究，患者在受伤后一周内接受了眼科医生和斜视矫正师的全面检查。所有确诊为颌面部骨折的患者均由眼科医生检查是否有相关眼部损伤。眼部损伤分为轻度、中度、重度三类。
93例（68.3%）接受检查的患者有各种类型的眼部损伤。其中，61.2%为暂时性或轻度损伤，29.03%为中度损伤，9.6%为重度损伤。最高发生率与面中部骨折相关，即95.7%。57例患者有176处轻度眼部损伤；27例患者为中度损伤；33例有重度眼部损伤。9例患者有严重眼部损伤。
建议对面部所有创伤，尤其是口部以上的创伤，都需要进行仔细的眼部检查，包括对每种类型的视力进行评估。
