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NR 4-6/2005
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Analiza częstości,
rodzajów i przyczyn złamania ścian oczodołu u pacjentów
Ambulatorium Okulistycznego Katedry i Kliniki Chorób Oczu
Akademii Medycznej w Gdańsku w latach 1990-1991 i 2000-2001
An analysis of orbital
fracture in open-clinic practice of Department of Ophthalmology
Medical University of Gdansk 1990-1991 and 2000-2001 years
Magdalena Homziuk
Z Katedry i Kliniki Chorób Oczu Akademii Medycznej w Gdańsku
Kierownik: prof. dr hab. n. med. Barbara
Iwaszkiewicz-Bilikiewicz |
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| Summary: |
Orbital fractures are
common in midface trauma. The aim of our study was the
retrospective analysis of patients with eye injuries.
According to a prospective protocol we studied 82%
adults and 18% children with orbital fractures. Men
compared 72% of the patients. Men aged 21-35 years the
most affected (mean age 29 years). These patients were
divided into two groups: these who was treated in
Emergency Department of our Clinic in 1990-1991 years (group
I) and these who was treated in 2000-2001 (group II).
Patients were analysed for age, sex, cause of injury and
types of orbital fracture. In a patient with orbital
trauma and orbital fractures visual acuity and ocular
muscle motility are two most important ophthalmologic
functions to be evaluated emeregently. Inclusion
criteria were clinically suspected orbital injuries
defined by reduced bulbus motility or diplopia We
determined visual function: visual acuity, intraocular
pressure, biomicroscopy and ophthalmoscopy, X- ray and
CT examination. X- ray and CT has come to play a major
role in the orbital examination of trauma patients with
orbital fractures. Our cases of the orbital margin
fractures classified into: blow-out (orbital floor
fracture), Le Fort III (orbital- zygomatic fractuer),
roof fracture (racture of the inferior orbital rim) and
complex orbital fracture. The blow-out orbital fracture
was the most common fracture type and orbital roof was
the least common site of fracture of the orbital bony
covering of the eye. In whole orbital fractures there
were single wall fracture in 43% of cases in group I and
41% of cases in group II., two-wall fracture in 31% of
cases in group I and 30% of cases in group II, Three
wall-fracture in 15% of cases in group I and 17% of
cases in group II. and four wall-fracture in 11% of
cases in group I and 12% of cases in group II. Of whole
orbital fractures had an associated eye injury. Common
mechanisms included assaults (37% of cases in group I
and 46% of cases in group II) and car or motor vehicle
accidents (43% of cases in group I and 44% of cases in
group II). We believe that further studies on this
subject are necessary because the mechanism which
produces the orbital fractures is subject to debat, they
are acknowledged to be difficult to diagnose solely
through clinical means. |
| Słowa kluczowe: |
złamanie ściany oczodołu,
urazy narządu wzroku. |
| Key words: |
fractura orbitae, eye
injuries. |
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