PDF(Pubmed)
Abstract：
UNASSIGNED: Orbital fractures are a common presentation to acute care and carry an associated risk of ocular injury, however, previous research has not investigated injury rates by fracture category. These patients are frequently assessed by non-ophthalmic clinicians, however, limited data exists regarding referral patterns and how this impacts recorded injury rates (1-3).
UNASSIGNED: We performed a retrospective review of all orbital fractures presenting to a tertiary hospital in Christchurch, New Zealand between March 2019 and March 2021. Data including mechanism of injury, fracture type, demographic characteristics, and associated ocular injury were recorded.
UNASSIGNED: 284 patients with orbital fractures were identified. 41% of patients had isolated wall fractures, while 59% had complex orbitofacial fractures. Fractures were more common in males, and occurred more frequently in young individuals. The most common mechanism of injury was interpersonal violence (32%), followed by falls (23%). 41% of patients were reviewed by ophthalmology (n = 118). Of those, 33% had an associated ocular injury. Severe ocular injury (defined as vision threatening, requiring globe surgery or acute lateral canthotomy and cantholysis) occurred in 4.9% of those with formal ophthalmic review. 0.7% of patients required intraocular surgery or lateral canthotomy due to their orbital fracture.
UNASSIGNED: Orbital fractures have a high rate of concurrent ocular injury in our study population, though rates of subsequent intraocular surgery are low. There was no significant difference in injury rates between isolated and complex fracture categories. Vision-threatening ocular injury occurred in 4.9% of fractures.
UNASSIGNED: We performed a retrospective review of all orbital fractures presenting to a tertiary hospital in Christchurch, New Zealand between March 2019 and March 2021. Data including mechanism of injury, fracture type, demographic characteristics, and associated ocular injury were recorded.
UNASSIGNED: 284 patients with orbital fractures were identified. 41% of patients had isolated wall fractures, while 59% had complex orbitofacial fractures. Fractures were more common in males, and occurred more frequently in young individuals. The most common mechanism of injury was interpersonal violence (32%), followed by falls (23%). 41% of patients were reviewed by ophthalmology (n = 118). Of those, 33% had an associated ocular injury. Severe ocular injury (defined as vision threatening, requiring globe surgery or acute lateral canthotomy and cantholysis) occurred in 4.9% of those with formal ophthalmic review. 0.7% of patients required intraocular surgery or lateral canthotomy due to their orbital fracture.
UNASSIGNED: Orbital fractures have a high rate of concurrent ocular injury in our study population, though rates of subsequent intraocular surgery are low. There was no significant difference in injury rates between isolated and complex fracture categories. Vision-threatening ocular injury occurred in 4.9% of fractures.
摘要：
■眼眶骨折是急性护理的常见表现，并具有相关的眼外伤风险，然而,以前的研究没有调查骨折类别的损伤率。这些患者经常由非眼科临床医生评估，然而,关于转诊模式以及这如何影响记录的损伤率的数据有限(1-3).
我们对基督城三级医院就诊的所有眼眶骨折进行了回顾性研究，新西兰在2019年3月至2021年3月之间。数据包括损伤机制，骨折类型,人口特征，并记录相关的眼外伤。
■284例眼眶骨折患者。41%的患者有孤立的壁骨折，而59%有复杂的眶面部骨折。骨折在男性中更为常见,并且在年轻人中更频繁地发生。最常见的伤害机制是人际暴力（32%），其次是下跌(23%)。41%的患者接受了眼科检查(n=118)。其中,33%有相关的眼外伤。严重眼外伤（定义为视力威胁，在接受正式眼科检查的患者中，有4.9％需要进行眼球手术或急性外侧角切开术和角溶解）。0.7％的患者因眼眶骨折而需要眼内手术或外侧角切开术。
■在我们的研究人群中，眼眶骨折并发眼外伤的发生率很高，尽管随后的眼内手术率很低。孤立和复杂骨折类别之间的损伤率没有显着差异。威胁视力的眼外伤发生在4.9%的骨折中。
我们对基督城三级医院就诊的所有眼眶骨折进行了回顾性研究，新西兰在2019年3月至2021年3月之间。数据包括损伤机制，骨折类型,人口特征，并记录相关的眼外伤。
■284例眼眶骨折患者。41%的患者有孤立的壁骨折，而59%有复杂的眶面部骨折。骨折在男性中更为常见,并且在年轻人中更频繁地发生。最常见的伤害机制是人际暴力（32%），其次是下跌(23%)。41%的患者接受了眼科检查(n=118)。其中,33%有相关的眼外伤。严重眼外伤（定义为视力威胁，在接受正式眼科检查的患者中，有4.9％需要进行眼球手术或急性外侧角切开术和角溶解）。0.7％的患者因眼眶骨折而需要眼内手术或外侧角切开术。
■在我们的研究人群中，眼眶骨折并发眼外伤的发生率很高，尽管随后的眼内手术率很低。孤立和复杂骨折类别之间的损伤率没有显着差异。威胁视力的眼外伤发生在4.9%的骨折中。
