Christensen Dallin N, Wagner William D, Maar Dennis J, Shostrom Valerie, Untrauer Jason, Chundury Rao V, Geelan-Hansen Katie
Department of Otolaryngology - Head and Neck Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Department of Ophthalmology and Visual Sciences, and University of Nebraska Medical Center, Omaha, Nebraska, USA.
Facial Plast Surg Aesthet Med. 2023 Jan-Feb;25(1):22-26. doi: 10.1089/fpsam.2021.0226. Epub 2022 Jun 28.
Orbital wall fractures are often associated with concomitant ocular injury. In some cases, detection and treatment of such injuries requires ophthalmology evaluation. To identify a change in ocular management as a result of ophthalmology evaluation in patients with orbital wall fractures. Retrospective cohort, patients >18 years of age with orbital wall fracture, and prompt evaluation by an ophthalmologist from 2012 to 2020 in a tertiary Level 1 trauma center. Fifty percent of patients had a moderate and/or severe ocular injury. Ophthalmology evaluation led to an ocular management change in 27% of patients. Patients with eyelid laceration, extra-ocular motion (EOM) abnormality, and pupillary defect were more likely to have a change in management. There was no delay of surgical bony fracture management. In patients with midface trauma including orbital wall fractures those with eyelid laceration, EOM abnormality, and pupillary defect were likely to undergo ocular management change as a result of ophthalmology consultation.
眼眶壁骨折常伴有眼部损伤。在某些情况下，此类损伤的检测和治疗需要眼科评估。目的是确定眼眶壁骨折患者因眼科评估而导致的眼部治疗变化。回顾性队列研究，纳入2012年至2020年在一级创伤中心大于18岁的眼眶壁骨折患者，并由眼科医生进行及时评估。50%的患者有中度和/或重度眼部损伤。眼科评估导致27%的患者眼部治疗发生变化。有眼睑裂伤、眼球运动（EOM）异常和瞳孔缺陷的患者更有可能出现治疗变化。手术治疗眼眶骨折没有延迟。在包括眼眶壁骨折在内的面中部创伤患者中，有眼睑裂伤、EOM异常和瞳孔缺陷的患者可能因眼科会诊而发生眼部治疗变化。
