Clinical Case Database / Category: Patient Management

Assessment of orbital fractures

Publication details

Dr Daren Hanumunthadu, Miss Vickie Lee
Foundation Years Journal, volume 9, issue 6, p.50 (123Doc Education, London, June 2015)

Abstract

Orbital trauma presents regularly to accident and emergency departments in the UK, usually secondary to assault and road traffic accidents. Careful evaluation of the injury is paramount. Appropriate treatment and referral to specialty care is necessary to manage these trauma patients. Consequences of orbital trauma could include persistent symptomatic diplopia, enophthalmos and loss of sight. We present a case of orbital fracture that required surgical management. Additionally, we discuss clinical assessment of orbital fractures, classification of orbital fractures and indications for surgical management.

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Authors

Dr Daren Hanumunthadu

Central Middlesex Hospital
London North West Hospital NHS Trust
Acton Lane, NW10 7NS
daren.hanumunthadu@nhs.net

Miss Vickie Lee (Corresponding author)

Consultant Ophthalmic & Oculoplastic Surgeon
London North West Hospital NHS Trust
Acton Lane, NW10 7NS
vickie.lee@nhs.net

References

1. Cruz, A.A. and G.C. Eichenberger, Epidemiology and management of orbital fractures. Curr Opin Ophthalmol, 2004. 15(5): p. 416-21.
2. Mellema, P.A., M.A. Dewan, M.S. Lee, S.D. Smith, and A.R. Harrison, Incidence of ocular injury in visually asymptomatic orbital fractures. Ophthal Plast Reconstr Surg, 2009. 25(4): p. 306-8.
3. Denniston, A.a.M.P., Oxford Handbook of Ophthalmology 2nd Edition. 2009. p106.
4. Ng, P., C. Chu, N. Young, and M. Soo, Imaging of orbital floor fractures. Australas
Radiol, 1996. 40(3): p. 264-8.
5. Joseph, J.M. and I.P. Glavas, Orbital fractures: a review. Clin Ophthalmol, 2011. 5: p. 95-100.
6. Sires, B.S., R.B. Stanley, Jr. and L.M. Levine, Oculocardiac reflex caused by orbital floor trapdoor fracture: an indication for urgent repair. Arch Ophthalmol, 1998. 116(7): p. 955-6.
7. Phan, L.T., W. Jordan Piluek and T.J. McCulley, Orbital trapdoor fractures. Saudi J Ophthalmol, 2012. 26(3): p. 277-82.
8. Jordan, D.R., L.H. Allen, J. White, et al., Intervention within days for some orbital floor fractures: the white-eyed blowout. Ophthal Plast Reconstr Surg, 1998. 14(6): p. 379-

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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