Clinical Evaluation of the Associated Ocular Injuries of Orbital wall fracture Patients

Purpose : To describe the demographics, etiologic factors, clinical presentations, and associated ocular injuries in orbital wall fracture patients. Materials and Methods : We retrospectively analysed 172 eyes of 144 patients with orbital wall fractures who visited emergency room & department of ophthalmology from 2000 to 2001. Clinical features such as age, sex, causes of injury, sites of orbital wall fractures, associated ocular injuries, number of associated injuries according to the site of orbital wall fractures, site of orbital wall fractures according to the associated injuries, associated injuries according to the number of orbital wall fractures. Results : Total number of patients was 144 (172 eyes), 108 patients (75.0%) were men and 36 patients (25.0%) were women. Mostly, they were under 50 years of age. Traffic accidents (44.4%) was the most common cause of injury and medial wall (37.8%) was most common site of orbital wall fractures. Commotio retina (36.8%), Hyphema (8.8%), Eyelid laceration (19.3%), Traumatic optic neuropathy (5.7%) were most commonly associated injuries. The more number of wall fracture, the more occurred associated injuries. When more stronger force, such as lateral wall fracture, was accompanied, the associated injuries were more common. Conclusions : High prevalence of ocular and extraocular injury with orbital wall fractures emphasizes the need for a comprehensive ophthalmic evaluation and long-term follow-up.