BACKGROUND: The oculovagal reflex is well described in ophthalmic surgery, but may be caused by any manner of pressure on the globe. Children with orbital blowout fractures present in a different manner from adults. The classic presentation in children is a white eye injury (ie, no subconjunctival haemorrhage) with upgaze diplopia and general malaise. METHODS: A retrospective audit is presented of paediatric and young adult patients referred to the Orbital Service at St George's Hospital who required surgical intervention. RESULTS: One-third of children with orbital blowout fractures are admitted for head injury observations, while the true cause for the symptoms goes unrecognised and uninvestigated. CONCLUSIONS: Orbital blowout fractures in children require more swift intervention than in adults if muscle ischaemia and permanent impairment of the vision is to be avoided. The delay for head injury observation may therefore compromise the surgical outcome.
BACKGROUND: The oculovagal reflex is well described in ophthalmic surgery, but may be caused by any manner of pressure on the globe. Children with orbital blowout fractures present in a different manner from adults. The classic presentation in children is a white eye injury (ie, no subconjunctival haemorrhage) with upgaze diplopia and general malaise. METHODS: A retrospective audit is presented of paediatric and young adult patients referred to the Orbital Service at St George's Hospital who required surgical intervention. RESULTS: One-third of children with orbital blowout fractures are admitted for head injury observations, while the true cause for the symptoms goes unrecognised and uninvestigated. CONCLUSIONS: Orbital blowout fractures in children require more swift intervention than in adults if muscle ischaemia and permanent impairment of the vision is to be avoided. The delay for head injury observation may therefore compromise the surgical outcome.
Authors: Dong Jin Yang; Youn-Jung Kim; Dong-Woo Seo; Hyung-Joo Lee; In-June Park; Chang Hwan Sohn; Jung Min Ryoo; Jong Seung Lee; Won Young Kim; Kyoung Soo Lim Journal: Clin Exp Emerg Med Date: 2017-03-30
Authors: Ricardo H Aoki; Italla Maria Pinheiro Bezerra; Alvaro Dantas de Almeida-Júnior; Renata Thaís de A Barbosa; Vitor E Valenti; Fernando R Oliveira; Adriano L Roque; Hugo Macedo Ferraz E Souza Júnior; David M Garner; Rodrigo D Raimundo; Luiz Carlos de Abreu Journal: Clinics (Sao Paulo) Date: 2019-09-09 Impact factor: 2.365