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Occurrence of ocular injury and orbital fracture in orbital blunt trauma patients at tertiary care center emergency room

  • Oculoplastics and Orbit
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To analyze the prevalence and association of ocular injury and orbital fracture in orbital trauma patients

Methods

Patients with periocular trauma who visited the emergency room at the referral center from 2014 to 2016 were screened. Patients examined by ophthalmologists and evaluated by CT scan were included. Patients’ age, gender, cause of trauma, and injury patterns were retrieved. The location of the fracture and morphologic parameters were reviewed. The patients were divided into groups based on the presence of orbital fracture and/or the presence of ocular injury and clinical data were compared.

Results

Two hundred patients were included and 158 presented with fracture. Ocular injuries occurred in 129 of 158 (81.6%) in the fracture group, and in 40 of 42 (95.2%) in the no fracture group; ocular injuries were found more often in the no fracture group (p = 0.031). Open globe injuries occurred in 5 of 158 (3.2%) in the fracture group and in 6 of 42 (14.3%) in the no fracture group; open globe injuries were found more often in the no fracture group (p = 0.012). Patients with ocular injuries showed shorter depth of the orbit (41.9 vs. 44.1 mm; p = 0.003) compared to the patients without ocular injuries. Logistic regression revealed that short orbit was associated with the presence of ocular injury (p = 0.004).

Conclusion

The incidence of ocular injuries was significantly higher in patients without orbital fracture than in those with fractures of the orbit. The orbital fracture may play a protective role against ocular injury by providing a decompressive effect on the orbital tissue.

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Authors and Affiliations

  1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-Ro, Gangnam-gu, Seoul, 06351, Korea

    Hoon Noh, Joon Kyo Chung, Kyung In Woo & Yoon-Duck Kim

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  1. Hoon Noh
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  2. Joon Kyo Chung
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  3. Kyung In Woo
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  4. Yoon-Duck Kim
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Hoon Noh and Joon Kyo Chung. The first draft of the manuscript was written by Hoon Noh, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Kyung In Woo.

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No conflicting relationship exists for any author.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Review Board (IRB) of Samsung Medical Center and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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The IRB of Samsung Medical Center approved the waiver of informed consent in this study.

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Noh, H., Chung, J.K., Woo, K.I. et al. Occurrence of ocular injury and orbital fracture in orbital blunt trauma patients at tertiary care center emergency room. Graefes Arch Clin Exp Ophthalmol 259, 165–171 (2021). https://doi.org/10.1007/s00417-020-04786-6

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  • DOI: https://doi.org/10.1007/s00417-020-04786-6

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