Mechanisms and management of vision loss following orbital and facial trauma.

摘要: PURPOSE OF REVIEW: To examine the proposed mechanisms of vision-threatening injuries occurring secondary to orbital and facial trauma: traumatic optic neuropathy (TON), retrobulbar haemorrhage (RBH) penetrating eye injury. evaluate evidence supporting different management options for RECENT FINDINGS: Despite considerable debate over roles surgical decompression systemic steroid therapy TON, these interventions have not been proved be more effective than conservative there is limited that use steroids may associated with an adverse outcome. Lateral canthotomy inferior cantholysis proven treatments RBH. Orbital exploration evacuation haematoma remains a second line intervention. Open globe require immediate primary repair. Irretrievable devastating either enucleation or evisceration. There no consensus as which best treatment recent surveys indicating preferred in USA evisceration United Kingdom. SUMMARY: Conservative first TON. The strongly supports lateral whether irretrievable choice currently determined by surgeon preference. Language: en