creators_name: Kamath, Sumana J creators_name: Kamath, MG creators_name: Kamath, MM creators_name: Pai, Shobha G creators_name: Chhablani, Jay creators_name: Chowdary, Somya creators_id: sumana.kamath@gmail.com creators_id: creators_id: creators_id: creators_id: creators_id: editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2007-09-28 23:24:24 lastmod: 2011-03-11 08:56:58 metadata_visibility: show title: A Study Of Orbital Fractures In A Tertiary Health Care Center ispublished: pub subjects: OJHAS full_text_status: public keywords: Orbital fracture, Blow out, Optic nerve compression abstract: A retrospective study of patients with orbital fractures had 48% patients in the age group of 20 – 40 years with male : female ratio of 10:1. Road traffic accidents (71.43%) were the most common cause followed by injury due to fall (20%). Eighty five percent of patients had normal visual acuity at presentation and 65.57% patients had no ocular complaints. Diplopia was present in 14.2% of patients. Of the orbital fractures infraorbital rim was involved in 43.13%, floor in 19.6%, lateral wall in 13.7%, pure blow out in 14.28% and the roof in 2.9%. Important ocular findings were extraocular movements restriction in 9 (10.3%), infraorbital dysaesthesia in 3 (3.4%), enophthalmos in 2, RAPD and globe rupture in 1 patient each. 32 patients underwent surgical management. At the end of 4 months of follow up, 3 had restriction of EOM, 1 patient had vision loss due to globe rupture, 2 had RAPD (optic nerve compression), 1 had lagophthalmos, 1 had exotropia and 1 had atrophic bulbi. date: 2007-07-17 date_type: published publication: Online Journal of Health and Allied Sciences volume: 6 number: 1 publisher: Dr. B.S. Kakkilaya refereed: TRUE referencetext: 1. Luhr’s HG. Primary reconstruction of orbital floor defects following trauma and tumour surgery. Disch Zahn Mumo Kieferheikd 1971;57:1 2. Hammereschlapsb et al. Blow out fractures of the orbit: a comparison of Computed Tomography with anatomic correlation. Radiology 1982;142:487. 3. Thering HR, Bogrt JN. Blow out fracture of the medial wall and orbital wall with entrapment of the medial rectus muscle. Plast Reconst Surg 1971;63:848. 4. Cocker NJ, Brodles BS, El Gammal T. Computed Tomography of orbital wall fracture. Head Neck Surg 1983;5:383. 5. AL-Qurainy IA et al. The characteristics of midface fracture and the associated ocular injury: a prospective study. Br J Maxillofacial surgery 1991;29:291 6. McLachlan DL, Flamagan JC, Shannon GM. Complication of orbital roof fractures. Ophthalmology 1982;89:1274 7. Schultz RC. Supraorbital and glabellar fracture. Plast Reconst Surg 1970;45:227. 8. Lester MC, Frank MT, Sidney Lerman. Blow out fracture of the orbit. Br J Plast Surg 1965;18:171. 9. Nicholas DH, Guzuk SV. Visual loss complicating repair of the orbital floor fracture. Arch Ophthalmology 1971;86:369. citation: Kamath, Sumana J and Kamath, MG and Kamath, MM and Pai, Shobha G and Chhablani, Jay and Chowdary, Somya (2007) A Study Of Orbital Fractures In A Tertiary Health Care Center. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/5718/1/2007-1-5.pdf