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Jung, Lee, Lee, and Baek: Clinical Manifestations, Management, and Ophthalmologic Complications of Orbital Roof Fractures and Zygoma Fractures
Original Article
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(4): 577-581.

Published online: 17 April 2012

DOI: https://doi.org/10.3341/jkos.2012.53.4.577

Clinical Manifestations, Management, and Ophthalmologic Complications of Orbital Roof Fractures and Zygoma Fractures

Jae Hoon Jung, MD1, Hwa Lee, MD1, Jongmi Lee, MD2, Sehyun Baek, MD, PhD1

1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.

2Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Address reprint requests to Sehyun Baek, MD, PhD. Department of Ophthalmology, Korea University Ansan Hospital, #123 Jeokgeum-ro, Danwon-gu, Ansan 425-707, Korea. Tel: 82-31-412-5160, Fax: 82-31-414-8940, shbaek6534@korea.ac.kr

Received 20 June 2011       Accepted 16 March 2012

Copyright © 2012 The Korean Ophthalmological Society

Abstract

Purpose

To investigate the clinical manifestations, management, and ophthalmologic complications of orbital roof fractures and zygoma fractures.

Methods

A retrospective survey of 119 patients who visited Korea University Medical Center from June 2009 to June 2010 was performed. The sex, age, causes, fracture characteristics, neurologic injury, ocular injury, and combined facial bone fractures of patients who were diagnosed with orbital roof fracture and zygoma fracture were statistically analyzed.

Results

The mean age of patients with orbital roof fracture was 33.0 years old. The most common cause of orbital roof fracture was traffic accident (36.1%) with 6 patients receiveing surgical treatement (9.8%). Among the ophthalmologic diagnoses of the patients with orbital roof fracture, traumatic iridocyclitis was the most common (7 eyes) followed by eyeball rupture (2 eyes). The mean age of patients with zygoma fracture was 36.6 years old. The most common cause of zygoma fracture was traffic accident (32.8%), with 51 patients receiving surgical treatement (87.9%). Among the ophthalmologic diagnoses of the patients with zygoma fracture, traumatic iridocyclitis was the most common (6 eyes), followed by commotio retina (4 eyes).

Conclusions

The present study regarding clinical characteristics and treatment of orbital roof fracture and zygoma fracture is helpful for ophthalmologists regarding the treatment of accompanying ophthalmologic complications.

Keywords: Ocular injury, Orbital roof fracture, Zygoma fracture

Figures and Tables

Table 1
Combined neurologic diagnosis in orbital roof fracture (total: 61 patients)
jkos-53-577-i001
Table 2
Combined facial bone fractures in orbital roof fracture (total: 61 patients)
jkos-53-577-i002
Table 3
Ophthalmologic diagnosis in orbital roof fracture (total: 61 patients)
jkos-53-577-i003
Table 4
Surgical treatment in orbital roof fracture (total: 61 patients)
jkos-53-577-i004
Table 5
Combined facial bone fractures in zygoma fracture (total: 58 patients)
jkos-53-577-i005
Table 6
Ophthalmologic diagnosis in zygoma fracture (total: 58 patients)
jkos-53-577-i006

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