Clinical Signs and Intraocular Pressure Changes in Patients with Orbitozygomatic Complex Fractures.

摘要: Objectives The study investigated the association between intraocular pressure changes and clinical ocular signs in 51 patients with orbitozygomatic complex fractures. Diplopia, chemosis, enophthalmos, subconjunctival haemorrhage, periorbital ecchymosis extraocular muscles entrapment were assessed. Study Design Intraocular was measured mmHg at different time intervals Perkins Goldman tonometers; within first 3 days of injury (T1), 24 h post-elevation within 3-14 days (T2), 1 month after initial treatment assessment (T3), 2 months (T4), 3 months (T5). T2/T1 T3/T1 analysed as change 1 2, respectively, paired t test. Significance set p < 0.05. Results Minimum recorded affected eye 5 mmHg T1 T2, while maximum 28 mmHg T1. Mean T2 15.90 ± 4.73 mmHg 16.80 ± 4.43 mmHg, respectively. All had completely resolved T3 except which persisted till T5. Statistical significant relationship exist fracture enophthalmos (T1: p = 0.04). haemorrhage (T2: p = 0.003), p = 0.005),and T3: p = 0.001). Conclusion Chemosis, diplopia, showed positive contributory effect to elevation fracture.