ArticleOphthalmic plastic and reconstructive surgery
Screening Criteria for Detecting Severe Ocular Injuries in the Setting of Orbital Fractures.
Article in Ophthalmic plastic and reconstructive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 27 citations in OpenAlex.
- Automated orbital wall fracture detection and severity classification of ocular injuries using deep learning.Scientific reports · 2026Article
- Is Ophthalmology Consult Needed for Acute Orbital Fractures?The Laryngoscope · 2025Review
- Article
- Retrospective evaluation of ocular injuries in fractures of the zygomaticoorbital complex in a level I trauma center: is primary specialized ophthalmologic examination always necessary?International ophthalmology · 2025Observational
- Predictors of higher pain in possible open globe injury emergency medical services activations.International ophthalmology · 2025Article
- Prediction of substantial closed-globe injuries in orbital wall fractures.International ophthalmology · 2024Article
- Orbital fractures and concurrent ocular injury in a New Zealand tertiary centre.Frontiers in ophthalmology · 2023Article
- Orbital Fractures and Risk Factors for Ocular Injury.Clinical ophthalmology (Auckland, N.Z.) · 2022Article
- Evaluation of commotio retinae in orbital fractures.Arquivos brasileiros de oftalmologia · 2022Article
- Article
- Orbital floor fracture.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Article
- Occurrence of ocular injury and orbital fracture in orbital blunt trauma patients at tertiary care center emergency room.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021Article
- Review of Ocular Injuries in Patients with Orbital Wall Fractures: A 5-Year Retrospective Analysis.Clinical ophthalmology (Auckland, N.Z.) · 2020Article
- Utilization of Ophthalmic Management in Patients with Head-and-Neck Trauma Secondary to Firearms.Journal of emergencies, trauma, and shockArticle
- Retrospective Optimization of the Hawkeye Orbital Fracture Prioritization and Evaluation Algorithms for Triaging Ophthalmic Care.Ophthalmology scienceArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeDefine incidence of severe ocular trauma in orbital fracture patients and determine if ocular signs and symptoms are useful predictors of severe ocular injuries.
methodsRetrospective chart review was performed on all patients with orbital fractures between April 1, 2013, and December 31, 2014. Patients were included if they had radiographic evidence of acute fracture of at least one orbital wall and were evaluated by the Ophthalmology service. Demographics, concurrent injury data, and symptoms and signs of ocular trauma were collected. Concurrent ocular injuries were grouped by severity. Predictive signs or symptoms for severe ocular trauma were identified by stepwise logistic regression analysis. The threshold point for predictive signs and symptoms was detected by a receiver operating characteristic (ROC).
resultsFive-hundred-twelve patients were included. The most common mechanisms of injury were assault (39%), fall (25%), and motor vehicle accident (21%). The incidence of any concurrent ocular trauma was 75% (383/512), with 14% (70/512) being severe. Four signs and symptoms were predictors of severity: blurred vision (P < 0.0001), pain with eye movements (P < 0.0001), visual acuity worse than 20/40 in the ipsilateral eye (P < 0.001), and restricted motility (P < 0.001). The presence of 2 or more of these signs or symptoms was predictive of severe ocular trauma with high sensitivity (91%) and specificity (86%).
conclusionsIn cooperative patients with acute orbital wall fractures, the presence of 2 or more signs or symptoms is predictive of severe ocular trauma and necessitates the need for urgent ophthalmic consultation.Severe ocular injury associated with orbital wall fracture is more likely in patients with 2 or more ophthalmic signs or symptoms.
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