Hashemi Hamid Mahmood, Avval Sarvenaz Karimi
Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Craniomaxillofcial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Front Dent. 2020 May;17(9):1-4. doi: 10.18502/fid.v17i9.4127. Epub 2020 May 15.
Damages to the middle third of the facial bone generally involve the orbital skeleton and can lead to eye impairment. In this study, it is attempted to determine the incidence of ophthalmic injuries in maxillofacial trauma with zygomatic bone fractures.
One hundred and fifteen cases with ophthalmic (ocular) involvement after maxillofacial trauma were referred to the Shariati Hospital, Tehran, Iran, and were visited at the Ophthalmology Department between 2016 and 2018. Zygomatic fractures and resulting ocular complications were evaluated in 87 males and 28 females with the mean ages of 26 and 32 years, respectively.
Subconjunctival ecchymosis was detected in 23.07% of men and 21.05% of women. Displacement of the palpebral fissure was detected in 26.5% of men and 27.6% of women. Furthermore, the unequal pupillary level was observed in 18.37% of men and 15.78% of women. Diplopia was detected in 8.9% of men and 10.5% of women. Additionally, enophthalmos was observed in 23.1% of men and 25% of women.
The most common ocular presentations in midfacial trauma are diplopia and reduced visual acuity. Even after the operation, a significant number of patients experience poor vision and diplopia. Ophthalmology consultation is essential for these patients.
面中部骨骼损伤通常累及眼眶骨骼，并可导致视力损害。本研究旨在确定颧骨骨折所致颌面部创伤中眼部损伤的发生率。
115例颌面部创伤后有眼部受累的患者被转诊至伊朗德黑兰的沙里亚蒂医院，并于2016年至2018年在眼科就诊。对87例男性和28例女性患者的颧骨骨折及由此导致的眼部并发症进行了评估，他们的平均年龄分别为26岁和32岁。
男性结膜下瘀斑的发生率为23.07%，女性为21.05%。男性睑裂移位的发生率为26.5%，女性为27.6%。此外，男性瞳孔水平不等的发生率为18.37%，女性为15.78%。男性复视的发生率为8.9%，女性为10.5%。另外，男性眼球内陷的发生率为23.1%，女性为25%。
面中部创伤最常见的眼部表现是复视和视力下降。即使在手术后，仍有相当数量的患者视力不佳和出现复视。这些患者必须进行眼科会诊。
