J Korean Ophthalmol Soc > Volume 53(4); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(4):577-581.
DOI: https://doi.org/10.3341/jkos.2012.53.4.577    Published online April 15, 2012.
Clinical Manifestations, Management, and Ophthalmologic Complications of Orbital Roof Fractures and Zygoma Fractures.
Jae Hoon Jung, Hwa Lee, Jongmi Lee, Sehyun Baek
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. shbaek6534@korea.ac.kr
2Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
안와 상벽 골절과 광대뼈 골절의 임상 양상과 치료 및 동반된 안과적 진단
정재훈1⋅이 화1⋅이종미2⋅백세현1
Department of Ophthalmology, Korea University College of Medicine1, Seoul, Korea Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine2, Ulsan, Korea
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.
Key Words: Ocular injury;Orbital roof fracture;Zygoma fracture


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