Prevalence of Ocular Complications in Patients with Zygomatic Bone Fractures in an Iranian Population
Objectives: Damages to the middle third of the facial bone generally involve the orbital skeleton and can lead to eye impairment. In this study, it is attempted to determine the incidence of ophthalmic injuries in maxillofacial trauma with zygomatic bone fractures.
Materials and Methods: One hundred and fifteen cases with ophthalmic (ocular) involvement after maxillofacial trauma were referred to the Shariati Hospital, Tehran, Iran, and were visited at the Ophthalmology Department between 2016 and 2018. Zygomatic fractures and resulting ocular complications were evaluated in 87 males and 28 females with the mean ages of 26 and 32 years, respectively.
Results: Subconjunctival ecchymosis was detected in 23.07% of men and 21.05% of women. Displacement of the palpebral fissure was detected in 26.5% of men and 27.6% of women. Furthermore, the unequal pupillary level was observed in 18.37% of men and 15.78% of women. Diplopia was detected in 8.9% of men and 10.5% of women. Additionally, enophthalmos was observed in 23.1% of men and 25% of women.
Conclusion: The most common ocular presentations in midfacial trauma are diplopia and reduced visual acuity. Even after the operation, a significant number of patients experience poor vision and diplopia. Ophthalmology consultation is essential for these patients.
2. Song WC, Choi HG, Kim SH, Kim SH, Hu KS, Kim HJ, et al. Topographic anatomy of the zygomatic arch and temporal fossa: A cadaveric study. J Plast Reconstr Aesthet Surg. 2009 Nov 1;62(11):1375-8.
3. Zingg M, Laedrach K, Chen J, Chowdhury K, Vuillemin T, Sutter F, et al. Classification and treatment of zygomatic fractures: a review of 1,025 cases. J Oral Maxillofac Surg. 1992 Aug;50(8):778-90.
4. Siritongtaworn P, Tongsawas S, Siltharm S. Diplopia in facial fractures. J Med Assoc Thai. 2001 Oct;84 Suppl 2:S491-4.
5. Amrith S, Saw SM, Lim TC, Lee TK. Ophthalmic involvement in cranio-facial trauma. J Craniomaxillofac Surg. 2000 Jun;28(3):140-7.
6. Al-Qurainy IA, Stassen LF, Dutton GN, Moos KF, el-Attar A. Diplopia following midfacial fractures. Br J Oral Maxillofac Surg. 1991 Oct;29(5):302-7.
7. Nam IW. [Clinical studies on treatment of fractures of the zygomatic bone]. [Article in Korean]. Taehan Chikkwa Uisa Hyophoe Chi. 1990 Jun;28(6):563-70.
8. Hoşal BM, Beatty RL. Diplopia and enophthalmos after surgical repair of blowout fracture. Orbit. 2002 Mar;21(1):27-33.
9. Hammer B, Prein J. Correction of post-traumatic orbital deformities: operative techniques and review of 26 patients. J Craniomaxillofac Surg. 1995 Apr;23(2):81-90.
10. Ellis E 3rd, el-Attar A, Moos KF. An analysis of 2,067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg. 1985 Jun;43(6):417-28.
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