| Title | Orbital Trauma in a Regional Orbito-facial Trauma Centre |
| Submitted by | Ahmed ALNAHRAWY |
| Abstract Number | 118 |
| 19-217 | |
| Review Result | rapid fire presentation |
| Purpose | Complex orbital fractures require multi-specialty input. There are no nationally agreed best practice guidelines (BAOMS Trauma Specialist Group Lead). A recent meta analysis established that patients fractures operated on more than 14 days post injury had a significantly increased risk of persistent diplopia. |
| Methods | We collected data on all patients presenting to a regional orbito facial trauma centre over a 3.5 year period referred for orbital and ophthalmic assessment between December 2014 to June 2018 including demographics, eye and orbital injuries, management and outcomes. |
| Results | 324 patients, Age range 15-89, 282 patients (87%) below 60 yrs of age, 42 patients (13%) above 60. Assault in 219 patients (67%) was the most common mechanism of injury in the under 60s and falls 16 patients (73%) for above 60s age group Isolated fractures in 221 patients (65.5%) while complex fractures 32 (9%) 92% of patients presented with ocular motility problems that improved after surgery. 42 cases residual ocular motility needing referral to strabismus clinic . Strabismus surgery was needed for 14 patients (4%) 14% were left with residual diplopia 7 (2%) patients with Traumatic Optic Neuropathy The timing of injury to eye assessment was within first week for 42 patients (13%), second week 229 patients (70%) and 53 (16%) patients were seen after 2 weeks. 195 patients (60%) went for Orbital Fracture Repair. |
| Conclusion | A clear referral pathway from trauma to OMFS via ophthalmology is essential to ensure patients are treated in a timely fashion as this would reduce need for reoperationa and maximise final outcome |
Additional Authors
| Last name | Initials | City / Hospital | Department |
|---|---|---|---|
| Chan | C | Imperial College Healthcare NHS Trust, London | |
| Lee | V | Imperial College Healthcare NHS Trust, London | |
| Jain | R | Imperial College Healthcare NHS Trust, London | |
| Aziz | A | Imperial College Healthcare NHS Trust, London | |
| Perry | M | London North West University NHS Trust, London | |
| Balasundaram | I | London North West University NHS Trust, London |
