DIPLOPIA AND ENOPHTHALMOS FOLLOWING MID FACE FRACTURES – A PROSPECTIVE CLINICAL STUDY.

Authors

  • Dr. Sobitha.G

Abstract

BACKGROUNDAND OBJECTIVE: Mid face trauma needs careful ophthalmological evaluation to assess the presence of vision threatening injuries.Injuries like diplopia and enophthalmos mostly occur in midface fractures involving orbit. Inappropriate treatment can be a devastating experience for the patients. It can also lead to medico-legal aligations. Timely detection and correction of injuries reduces morbidity. The prevalence and co-relationship of diplopia and enophthalmos in midface fractures and frequency of surgical correction needed is assed in this study.

METHODS: This study assessed 401 patients with Lefort I, Lefort II, Lefort III, zygomatic complex and naso-ethmoid fracture. Assessment of diplopia and enophthalmos in facial fractures was done through clinical examination and specific tests. Ophthalmological evaluation was completed under the guidance of a registered ophthalmologist. Orbital injuries that lead to diplopia and enophthalmos was assessed clinically and radiographically .

RESULTS: .The incidence of enophthalmos was 54.5% and diplopia15.7% in the present study. Zygomatic complex fractures with involvement of the lateral wall of orbit and the infra orbital rim along with extension to the orbital floor showed highest association with diplopia and enophthalmos .

CONCLUSION: Based on the study it can be concluded that all mid face fracture need a comprehensive ophthalmological evaluation to rule out vision threatening injuries. Early surgical intervention was needed in the correction of enophthalmos, hypoglobus, diplopia etc. Zygomatic- complex fracture was the main midface fracture associated with highest incidence of ophthalmic and orbital injuries.

KEY WORDS: Diplopia, enophthalmos, supraorbital rim, infraorbital rim, floor fracture, extraocular movements.

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Published

2019-07-30

How to Cite

Dr. Sobitha.G. (2019). DIPLOPIA AND ENOPHTHALMOS FOLLOWING MID FACE FRACTURES – A PROSPECTIVE CLINICAL STUDY. International Journal of Medical Science And Diagnosis Research, 3(7). Retrieved from https://www.ijmsdr.com/index.php/ijmsdr/article/view/436

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