Swapnil M Jain1, Neelima Gehlot1, Arunkumar Kv1, Pawan Prasad1, Prashansa Mehta1, Thota Roger Paul2, Ankit Dupare3, Chakka Satyadev Cvns4, Sadaf Rahman5. 1. Department of Oral and Maxillofacial Surgery, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, IND. 2. Department of Oral and Maxillofacial Surgery, Konaseema Institute of Medical Sciences (KIMS) Dental College and Hospital, Amalapuram, IND. 3. Department of Oral and Maxillofacial Surgery, Rungta College of Dental Sciences and Research, Bhilai, IND. 4. Department of Dentistry, Leaside Orthodontic Centre, Toronto, CAN. 5. Department of Oral and Maxillofacial Surgery, Smile Dental Clinic, New Delhi, IND.
Abstract
OBJECTIVES: To determine the incidence and types of ophthalmic complications associated with maxillofacial trauma over a period of 24 months. METHODS: An institutional prospective study was conducted on 62 patients presenting with maxillofacial trauma to study the correlation between facial trauma and ophthalmic complications. RESULTS: Road traffic accidents were reported to be the primary etiologic factor for most trauma cases studied. Zygomaticomaxillary complex (ZMC) fracture was associated with more ophthalmic complications while fractures involving the orbital rims and walls were associated with severe complications. CONCLUSIONS: Maxillofacial trauma, particularly those associated with midface, including ZMC fracture, Le Fort II, Le Fort III, and naso-orbito-ethmoidal fractures, can commonly cause ophthalmic complications and blindness in rare cases. Hence, every patient with maxillofacial trauma should undergo an ophthalmic examination and should be placed under close observation for necessary treatment when required.
OBJECTIVES: To determine the incidence and types of ophthalmic complications associated with maxillofacial trauma over a period of 24 months. METHODS: An institutional prospective study was conducted on 62 patients presenting with maxillofacial trauma to study the correlation between facial trauma and ophthalmic complications. RESULTS: Road traffic accidents were reported to be the primary etiologic factor for most trauma cases studied. Zygomaticomaxillary complex (ZMC) fracture was associated with more ophthalmic complications while fractures involving the orbital rims and walls were associated with severe complications. CONCLUSIONS: Maxillofacial trauma, particularly those associated with midface, including ZMC fracture, Le Fort II, Le Fort III, and naso-orbito-ethmoidal fractures, can commonly cause ophthalmic complications and blindness in rare cases. Hence, every patient with maxillofacial trauma should undergo an ophthalmic examination and should be placed under close observation for necessary treatment when required.
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