Midfacial fractures and the eye: the development of a system for detecting patients at risk of eye injury--a prospective evaluation.
Midfacial trauma is often complicated by ocular disorder. A scoring system has been devised to help the maxillofacial surgeon identify patients who warrant referral to an ophthalmologist. A prospective pilot study was carried out on 100 patients with midfacial fractures to evaluate the effectiveness of this system in clinical practice. The sensitivity value was 94.4% and the specificity value was 89%. Only 1 patient, who clinically warranted referral to an ophthalmologist, was missed by the system whilst 9 others were incorrectly classified as warranting referral. The results of this evaluation demonstrate the competence of the system.
al-Qurainy
I A
IA
Tennent Institute of Ophthalmology, Western Infirmary, Glasgow.
Dutton
G N
GN
Ilankovan
V
V
Titterington
D M
DM
Moos
K F
KF
el-Attar
A
A
D015331:Cohort Studies; D005131:Eye Injuries / Q000175:diagnosis* / Q000209:etiology; D005147:Facial Bones / Q000293:injuries*; D006801:Humans; D015835:Ocular Motility Disorders / Q000175:diagnosis; D011446:Prospective Studies; D012017:Referral and Consultation; D015203:Reproducibility of Results; D012307:Risk Factors; D012680:Sensitivity and Specificity; D012887:Skull Fractures / Q000150:complications*; D014792:Visual Acuity