Online ISSN: 2515-8260

A study on ocular complications following orbital fracture at a tertiary care hospital

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Dr. Dhananjaya KH, Dr. Girish Kulkarni

Abstract

Trauma can result in fracture of one or more wall of the orbit, floor being most common affected, followed by combined floor and medial wall fracture, followed by combined floor and lateral wall fracture, combination floor, lateral wall and medial wall together, isolated lateral wall and isolated medial wall in decreasing frequency. Pupils were checked for both direct and indirect light reflex and swinging flash light test was done to rule out any relative afferent pupillary defect. Slit lamp biomicroscopy and indirect ophthalmoscopy was done to rule out involvement of Posterior segment. Inspection palpation and auscultation of the orbit and orbital margins were done Hertelsexophthalmometer was done to check Enophthalmos and exophthalmos. Extra ocular movements were examined in all nine gazes both ductions and versions. Forced duction test was done in case of restricted ocular movement. Our study had 8 patients with diplopia. Out of which 3(37.5%) had floor fracture, 4(37.5%) had combined medial, lateral and floor, 4(37.5%) had combined medial and lateral and 1(12.5%) medial wall fracture.

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