PubMed Health⌕ Search

PubMed · 10174261

Orbital trauma.

Abstract

This article is a review of recent advances in the evaluation and treatment of orbital and periorbital trauma. We present the pertinent literature from the past year dealing with orbital injuries, orbital imaging, assessment and management of orbital fractures, and traumatic optic neuropathy. Managing orbital trauma can utilize different approaches to achieve the same final goal: the restoration of normal orbital and craniofacial anatomy and the return of function. We provide the perspective of our orbital and ophthalmic plastic and reconstructive practice and relate the recent literature to our current treatment of orbital trauma. We find that often a multidisciplinary effort is advantageous for managing complex orbital and craniofacial injury.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

M A Cepela, C E George. 1997. Orbital trauma.. https://doi.org/10.1097/00055735-199710000-00013

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Triangular transchamber suture.

A 64-year-old woman with a fibrous membrane at the lens plane after traumatic loss of all the iris and massive intraocular hemorrhage had posterior chamber intraocular lens (PCIOL) implantation anterior to the fibrous membrane with a triangular transchamber suture to prevent possible PCIOL-corneal touch and enhance the stability of the PCIOL. After 3 years, the PCIOL remained in a good position and visual rehabilitation was satisfactory and without complications.

Eye Injuries↗

Management of posterior capsule rupture during phacoemulsification using the dry technique.

To manage posterior capsule rupture during phacoemulsification, we use a dry technique in which all procedures are performed without an irrigation/aspiration system. The dry technique is characterized by (1) continuous viscoelastic injection instead of fluid irrigation to maintain anterior chamber depth with the posterior capsule and vitreous located posteriorly and (2) static removal of most residual lens material by viscoexpression and/or manual small incision extracapsular cataract extraction without aspiration and dynamic water flow. In 16 cases of posterior capsule rupture managed using the dry technique, the residual nucleus and cortex were readily removed with minimum extension of the ruptured area and new vitreous loss. Although large amounts of viscoelastic material (mean 5.8 mL) were required, rapid and stable visual recovery was comparable to that in patients having uneventful surgery. The dry system is a safe and reliable technique for managing posterior capsule rupture during phacoemulsification.

Eye Injuries↗