Factors Associated with Ocular Injury in Orbital Fracture Patients: Who Requires Urgent Ophthalmic Evaluation?

Overview

Journal Facial Plast Surg Aesthet Med

Specialty General Surgery

Date 2021 Sep 27

PMID 34569815

Citations 2

Authors

Sarah R Akkina

Tate G Saurey

Nicholas A Middleton

Nicole R Mattson

Shaye Brummet

James O Phillips

Christopher B Chambers

Kris S Moe

Raghu C Mudumbai

Affiliations

Soon will be listed here.

Abstract

Create validated criteria to identify orbital fracture patients at higher risk for significant ocular injuries. Determine history and physical examination findings in orbital fracture patients who are associated with ocular injury and warrant urgent assessment by an ophthalmologist. Retrospective chart review of 535 adult orbital fracture patients evaluated at a Level I emergency department between 2014 and 2017, without prior history of orbital fracture, ocular injury, or ocular/orbital surgery. Presence of ocular injury. In total, 195 (36%) patients had an ocular injury. Those with and without ocular injury were compared in a multivariate logistic regression model including demographics, fracture characteristics, injury mechanism, and physical examination findings. Visual acuity change, radiographic retrobulbar hemorrhage, abnormal pupillary reaction, and inability to open the injured eye all had significant associations with ocular injury when other findings were controlled. This study shows a significant association between ocular injury and visual acuity change, retrobulbar hemorrhage, abnormal pupillary reaction, and inability to open the injured eye. These factors can help triage when to obtain an urgent ophthalmology consult.

Citing Articles

The effect of visual acuity measurement on triage effectiveness in an ophthalmic emergency department.

Chan H, Cheng J, Bharmal A, Sung V Graefes Arch Clin Exp Ophthalmol. 2024; .

PMID: 39652183 DOI: 10.1007/s00417-024-06705-5.

Retrospective Optimization of the Hawkeye Orbital Fracture Prioritization and Evaluation Algorithms for Triaging Ophthalmic Care.

Sanchez P, Shriver E, Strampe M, Diel R, Pham C, Carter K Ophthalmol Sci. 2024; 4(3):100447.

PMID: 38284103 PMC: 10810741. DOI: 10.1016/j.xops.2023.100447.

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