![]() Patient can recover well with good functional results, with the recovery of vision largely determined by the extent of damage to the globe integrity and optic nerve continuity Conclusion These rare cases require surgical intervention. (h).Ĝomplete herniation of the Globe through an orbital blow-out fracture is uncommon. Recovery is variable with the extent and mechanism of injury. (g).ĝislocation of orbital content can also occur in various degrees, these cases need surgical intervention to both explore the extent of the injury and repair the damage. Computed tomography of the head and orbits is recommended to evaluate for open globe injury, intraocular foreign body or orbital wall fractures. In patient with ocular injury, if globe rupture is suspected or confirmed, an eye shield be immediately placed over the affected eye and further direct examination should be deferred to avoid putting pressure on the eye. Optic nerve sheath diameter has significance in the assessment of papilledema in cases of elevated intracranial pressure in case of penetrating globe injuries. Ocular ultrasound examination at the bedside can accurately detect a range of pathological disorder and rule out emergent conditions that otherwise require immediate ophthalmologic consultation Globe rupture causes pain, decreased vision, hyphaema, loss of anterior chamber depth, or deviation of the pupil toward the laceration. Globe injury must be suspected for all patients presenting with eyelid injuries. With the help of Seidel test, corneal laceration can be determined Patient’s history helps to differentiate the diagnosis and leads to appropriate treatment. (a).Ğmergency department is the first line of contact for many patients with ocular trauma. Planned for complete bone and soft tissue closure. Left ethmoid and maxillary hemosinus noted.ĬT Chest, abdomen, pelvis and whole spine screened: normal Follow up Soft tissue swelling and laceration over left orbital, maxillary, frontal and septal region. (a).ělowout fracture of left orbit extending to left frontal, left ethmoid, left maxillary sinus and left upper alveolus with indistinct globe. Local authorities intimated Shifted to radiology for Trauma series CT: (b).Ěctive compression dressing applied over left eye Patient shifted on spine board & cervical collar applied. (a).ĝress soaked with blood and road debris. Peripheral pulses well felt Exposure and Environment: ![]() Right eye: Normal field of vision, Pupils 2 mm RTL.Ĭhest: Palpable tenderness, No paradoxical movements 1 shows a deep laceration involving the forehead starting from the medial aspect of the left eyebrow and extending into the left eye with an active bleed. PICCLE Negative Disability and Deformity:įig. Peripheral pulses well felt, Peripheries warm. Patient was received in Red Triage zone Primary Survey: Airway: He had normal vision in the right eye but no vision in the left. While being shifted here, the patient had two episodes of hematemesis. Initially, he was taken to a nearby hospital where first aid was given and shifted here for further management. Case presentationĪ 20-years-aged young man presented to the emergency department with an alleged history of road traffic accident 2-wheeler vs 2-wheeler, head-on collision, and sustained injury to left eye, with bleeding from both nostrils. Here is a case of an orbital blowout fracture with trauma in a young man. However, less is known about the long-term visual outcomes of orbital floor fracture. Operative intervention of adult orbital floor fractures is generally reserved for fractures producing an alteration in vision. Backgroundįractures of the orbit can occur in association with more complex fracture patterns and globe dislocation. However, the current case illustrates that such an occurrence should be in the differential diagnosis and should be considered when confronted with impact injuries involving a foreign object. Globe injury with orbital blowout fracture is uncommon. This case report describes the diagnosis and treatment of a left-sided orbital floor fracture with globe injury, a brief discussion about the indication of surgery, and about recovery from orbital floor fractures. Volume 3 - Issue 11-2 Globe Injury with Orbital Blow Out FractureġFirst-year Emergency Medicine Resident, Kauvery Hospital, Chennai, IndiaĢConsultant, Department of Emergency Medicine, Kauvery Hospital, Chennai, India Abstract
0 Comments
Leave a Reply. |