TY  - JOUR
T1  - Assessment of orbital injury in the emergency department
TT  - Acil serviste orbital yaralanmanın değerlendirilmesi
AU  - Süer Doğan, İhsaniye
AU  - Kavak, Nezih
AU  - Zengin, Ece
AU  - Atalay, Behlül
AU  - Kavak, Rasime Pelin
AU  - Bayram, Nurettin
PY  - 2025
DA  - March
Y2  - 2025
DO  - 10.47582/jompac.1639801
JF  - Journal of Medicine and Palliative Care
JO  - J Med Palliat Care / JOMPAC / Jompac
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2717-7505
SP  - 110
EP  - 115
VL  - 6
IS  - 2
LA  - en
AB  - Aims: Orbital injury is a significant clinical presentation in the emergency department (ED). This study aims to evaluate the clinical and radiological findings in patients presenting to the ED with orbital injury.Methods: For patients who presented to the ED due to orbital injuries and underwent computed tomography scanning, data were recorded on age, gender, type of trauma, the presence of additional trauma locations (if any), the injured eye, the cause of injury, and the specific location of the injury. Results: 314 patients were included in the study, with a mean age of 46.54±18.23 years (range: 18–79). Among these, 217 patients (69.1%) were male. Blunt trauma was observed in 202 patients (64.3%), and 102 patients (32.5%) sustained injuries as a result of road traffic accidents. Analysis of injury localization revealed that bone injuries were present in 202 patients (64.3%). Patients who experienced blunt trauma were significantly older (p
KW  - Orbital injury
KW  - emergency department
KW  - computed tomography
N2  - Amaç: Orbital yaralanma acil serviste (AS) önemli başvuru nedenlerindendir. Çalışmanın amacı AS’e başvuran orbital yaralanması olan hastaların klinik ve radyolojik bulgularının değerlendirmektir.Method: AS’e orbital yaralanma nedeni ile başvurmuş ve bilgisayarlı tomografisi yapılmış olan hastaların yaşı, cinsiyeti, travma tipi, travma lokalizasyonu, ek travma yerlerinin varlığı (varsa), yaralanan göz, yaralanma nedeni ve yaralanma lokalizasyonu değerlendirildi.Sonuç: 314 hastanın yaş ortalaması 46.54±18.23 yıl (18-79) idi. Hastaların 217 (%69.1)’u erkek idi. Hastaların 202 (%64.3)’ünün travma tipi künt idi. 102 (%32.5)’inin trafik kazası nedeniyle yaralandığı saptandı. Hastaların yaralanma lokalizasyonlarının dağılımlarında, kemik kırığı 202 (%64.3) hastada vardı. Künt yaralanması olan hastalar daha yaşlı idi (p
CR  - Piniara A, Georgalas C: Surgical anatomy of the orbit, including the intraconal space [Internet]. In: Endoscopic surgery of the orbit. Elsevier, 2021, pp. 18–27. [cited 2023 Mar 20]. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780323613293000044.
CR  - Gooris PJJ, Cornelius CP. Anatomy of the orbit: overall aspects of the peri and intra orbital soft tissues. In: Gooris PJJ, Mourits MP, Bergsma JE, editors. Surgery in and around the orbit: CrossRoads. Cham: Springer International Pub  lishing; 2023. p. 59–119. Available from https://doi.org/10.1007/978-3-031-40697-3_23
CR  - Heftye-Sánchez B, Prieto-Vargas V, Serna O, et al. Treatment of orbital floor fractures in a reference center in Mexico city. Int Surg J. 2023:10(12): 1885-1890. doi:10.18203/2349-2902.isj20233669
CR  - Delpachitra SN, Rahmel BB. Orbital fractures in the emergency department: a review of early assessment and management. Emerg Med J. 2016:33(10):727-731. doi:10.1136/emermed-2015-205005
CR  - Irfan A, Punjabi N, Suresh A, et al. Orbital trauma epidemiologic characteristics by life stage. Craniomaxillofac Trauma Reconstr. 2024: 19433875241275102. doi:10.1177/19433875241275102
CR  - Colangeli W, Ferragina F, Kallaverja E, et al. Orbital fractures treated in a university hospital of southern Italy: epidemiology, outcomes and prognostic factors resulting from 538 retrospectively analyzed cases. Oral Maxillofac Surg. 2024:28(3):1219-1225. doi:10.1007/s10006-024-01236-z
CR  - Gultekin E, Ciftci Z, Develioglu ON, et al. Endoscopic orbital decompression of an isolated medial orbital wall fracture: a case report. Ear Nose Throat J. 2011:90(12):E32-35.  doi:10.1177/014556131109001216
CR  - al-Qurainy IA, Stassen LF, Dutton GN, et al. The characteristics of midfacial fractures and the association with ocular injury: a prospective study. Br J Oral Maxillofac Surg. 1991:29(5):291-301. doi:10.1016/0266-4356(91)90114-k
CR  - Chow J, Parthasarathi K, Mehanna P, et al. Primary Assessment of the patient with orbital fractures should include pupillary response and visual acuity changes to detect occult major ocular injuries. J Oral Maxillofac Surg. 2018:76(11):2370-2375. doi:10.1016/j.joms.2018.04.024
CR  - Amrith S, Saw SM, Lim TC, et al. Ophthalmic involvement in cranio-facial trauma. J Craniomaxillofac Surg. 2000:28(3):140-147. doi:10.1054/jcms.2000.0138
CR  - Christensen DN, Wagner WD, Maar DJ, et al. Orbital wall fractures and ocular injury: impact on management. Facial Plast Surg Aesthet Med. 2023:25(1):22-26.  doi:10.1089/fpsam.2021.0226
CR  - Moffatt J, Hughes D, Bhatti N, Holmes S. Orbital bone fractures in a central London trauma center: a retrospective study of 582 patients. J Craniofac Surg. 2021;32(4):1334-1337. doi:10.1097/SCS.0000000000007384
CR  - Rafindadi AL, Pam WA, Chinda D, MahmudAjeigbe FA. Orbital and ocular trauma at Ahmadu Bello University Teaching Hospital, Shika-Zaria. A retrospective review. Ann Nigerian Med. 2013;7(1):20-23. doi: 10.4103/0331-3131.119982
CR  - Irfan A, Punjabi N, Suresh A, et al. Orbital trauma epidemiologic characteristics by life stage. Craniomaxillofac Trauma Reconstr. 2024:17: 19433875241275102. doi:10.1177/19433875241275102
CR  - Mancera N, Do DP, Griepentrog GJ, et al. Assault-related orbital trauma at an urban level i trauma center: racial segregation and other neighborhood-level social determinants. Ophthalmic Plast Reconstr Surg. 2023;39(2):182-186. doi:10.1097/IOP.0000000000002286
CR  - Karabekir HS, Gocmen-Mas N, Emel E, et al. Ocular and periocular injuries associated with an isolated orbital fracture depending on a blunt cranial trauma: anatomical and surgical aspects. J Craniomaxillofac Surg. 2012:40(7):e189-93. doi:10.1016/j.jcms.2011.10.006
CR  - Goelz L, Syperek A, Heske S, et al. Retrospective cohort study of frequency and patterns of orbital injuries on whole-body CT with maxillofacial multi-slice CT. Tomography. 2021:17;7(3):373-386. doi:10. 3390/tomography7030033
CR  - Jo A, Rizen V, Nikolić V, Banović B. The role of orbital wall morphological properties and their supporting structures in the etiology of "blow-out" fractures. Surg Radiol Anat. 1989;11(3):241-248.  doi:10.1007/BF 02337832
CR  - Kovačević I, Bila M, Mirkovic J et al. The epidemiology of blunt ocular trauma in a tertiary health care institution in Serbia - a four-year-long retrospective study.  Srpski Arhiv Za Celokupno Lekarstvo. 2023;151(3-4):204-208. doi:10.2298/SARH220929024K
CR  - Chen B, Zhang H, Zhai Q, et al. Traumatic optic neuropathy: a review of current studies. Neurosurg Rev. 2022;45(3):1895-1913. doi:10.1007/s10143-021-01717-9
CR  - Tandon V, Maapatra AK.  Current management of optic nerve injury. Indian J Neurosurg. 2017;6(2):83-85. doi:10.1055/s-0037-1606314
CR  - Li Y, Singman E, McCulley T, Wu C, Daphalapurkar N. The biomechanics of indirect traumatic optic neuropathy using a computational head model with a biofidelic orbit. Front Neurol. 2020;11:346. doi:10.3389/fneur.2020.00346
CR  - Medvedeva NА, Serova NS, Pavlova OY, et al. Orbital injuries: aspects of forensic medical examination in assessing the severity of harm caused to human health. Ophthalmol Rep. 2024;17(3):47-58. doi:10.17816/OV 634582
UR  - https://doi.org/10.47582/jompac.1639801
L1  - https://dergipark.org.tr/en/download/article-file/4609321
ER  -