Blindness After Midface Injuries - Data From the Department of Cranio-Maxillofacial and Oncological Surgery, Medical University in Łódź

• Autorzy: Ewelina Gaszyńska , Maksymilian Krawczyk , Marta Tyndorf , Piotr Arkuszewski
• Języki publikacji: EN

Abstrakty

EN

One of the most serious consequences of eye globe injury is loss of vision. Direct trauma to the eyeball is extremely rare, in comparison to the incidence of orbital fractures.The aim of the study was to determine the frequency and characteristics of post-traumatic amaurosis in patients subject to midfacial injuries.Material and methods. Retrospective analysis comprised 6677 records of patients admitted to the Department of Cranio-Maxillofacial and Oncological Surgery, Medical University in Łódź during the period between 2004 and 2009.Results. Post-traumatic amaurosis was diagnosed in seven patients. The most common cause of post-traumatic blindness was attributed to fighting and road traffic accidents. All patients with midface fractures were thoroughly examined by an ophthalmologist. Six patients were subject to pharmacological therapy, while two were qualified towards surgical treatment (optic nerve decompression).Conclusions. It is necessary to conduct an accurate examination of the visual organ in all patients after midfacial trauma, in order to confirm or exclude organ of vision injuries. Pharmacological and surgical treatment should be immediately initiated, as a consequence of optic nerve neuropathy.

Słowa kluczowe

EN

post-traumatic amaurosis; facial injuries; post-traumatic optic nerve neuropathy

• Wydawca: Index Copernicus International
• Czasopismo: Polish Journal of Surgery
• Rocznik: 2010
• Tom: 82
• Numer: 10
• Strony: 553-555

Daty

wydano

2010-10-01

online

2010-12-06

Twórcy

autor

Ewelina Gaszyńska

• Department of Cranio-Maxillofacial Surgery, Medical University in Łódź

autor

Maksymilian Krawczyk

• Department of Cranio-Maxillofacial Surgery, Medical University in Łódź

autor

Marta Tyndorf

• Department of Cranio-Maxillofacial Surgery, Medical University in Łódź

autor

Piotr Arkuszewski

• Department of Cranio-Maxillofacial Surgery, Medical University in Łódź

Bibliografia

• Zachariades N, Papavassiliou D, Christopoulos P: Blindness after facial trauma. Oral Surg Oral Med Oral Pathol Radiol Endod 1996; 81: 34-37.
• Fryczkowski P, Kmera-Muszyńska M, Kamińska A: Klasyfikacja mechanicznych urazów gałki ocznej. Okulistyka 2003; 4: 9-16.
• Puchalska-Niedbał L, Jezewski D: Nagłe zaniewidzenie jako następstwo dekompresji po usunięciu torbieli pajęczynówki okolicy skroniowej. Rocz PAM 2007; 53 (supl. 1): 80-84.
• Ugboko VI, Udoye C, Oleteju SO et al.: Blindness and visual impairment from severe midface trauma in Nigerians. Int J Oral Maxillofac Surg 2006; 35: 127-31.
• Zapała J: Wytyczne do postępowania w pourazowej neuropatii nerwu wzrokowego. Klinika Oczna 2005; 107: 263-65.
• Homziuk M, Łuksza L: Urazy narządu wzroku w praktyce ambulatoryjnej Katedry I Kliniki Chorób Oczu Akademii Medycznej w Gdańsku w latach 1992-1993 i 2002-2003. Klinika Oczna 2005; 107: 247-249.
• Mackiewicz J, Machowicz-Matejko E, Sałaga-Pylak M i wsp.: Epidemiologia urazów przenikających gałki ocznej w materiale własnym. Klinika Oczna Suplement 2004; 106: 448-44.
• Świtka-Więclawska I, Ciszewska J, Turczyńska M i wsp.: Ostry dyzur okulistyczny - retrospektywna ocena przyczyn hospitalizacji. Okulistyka 2003; 4: 6-8.
• Perry M, Dancey A, Mireskandari K et al.: Emergency care in facial trauma - a maxillofacial and ophthalmic perspective. Injury Int J Care Injured 2005: 36; 875-96.[Crossref]

Identyfikatory

DOI

10.2478/v10035-010-0082-1