Association between orbital fracture location and ocular injury: a retrospective study.
BACKGROUND
Orbital fractures are frequently accompanied by ocular injury. Any findings that provide information for diagnosing a concurrent ocular injury should improve patient care. A greater incidence of severe ocular injury with certain fracture types was hypothesized, based on orbital wall thickness.


METHODS
A retrospective review of 87 consecutive patients (107 fractured orbits) was performed by the Ophthalmology Department of an urban Level 1 trauma center.


CONCLUSIONS
Severe injuries were associated with orbital apex fractures (p = 0.00001), with lateral wall fractures (p < 0.04), and with Le Fort Type III fractures (p < 0.02). Moderate injuries were associated with isolated orbital floor fractures (p < 0.01). Apex, lateral wall, and Le Fort Type III fractures have a greater association with severe ocular injuries than other fracture types.
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RW
Department of Ophthalmology, University of Washington School of Medicine, Seattle, USA.
Sires
B S
BS
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D003288:Contusions / Q000150:complications; D005130:Eye Hemorrhage / Q000150:complications; D005131:Eye Injuries / Q000145:classification / Q000150:complications*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008440:Maxillary Fractures / Q000145:classification / Q000150:complications; D008875:Middle Aged; D020221:Optic Nerve Injuries / Q000150:complications; D009915:Orbit / Q000293:injuries / Q000473:pathology; D009917:Orbital Fractures / Q000145:classification / Q000150:complications*; D010347:Patient Care Planning; D012189:Retrospective Studies; D013223:Statistics as Topic; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications