Look for the eye: Traumatic orbital injuries

Congress:

ECR 2020

Poster Number:

C-12587

Type:

Educational Exhibit

Keywords:

Performed at one institution, Diagnostic or prognostic study, Retrospective, Trauma, Medico-legal issues, Education, Computer Applications-3D, CT, Eyes, Emergency, Emergency Imaging

Authors:

C. Aydın Kızılkum; Ankara/TR

DOI:

10.26044/ecr2020/C-12587

DOI-Link:

https://dx.doi.org/10.26044/ecr2020/C-12587

$Fig. 1: Medial wall fracture(right), orbital emphysema$

Fig. 1: Medial wall fracture(right), orbital emphysema

$Fig. 2: Right floor fracture, orbital emphysema and pneumocephaly$

Fig. 2: Right floor fracture, orbital emphysema and pneumocephaly

Fig. 4: Retrobulbar hemorrhage at left eye, globe pushed caudally

Fig. 3: Foreign body, adjacent emphysema

Learning objectives

to underline the importance of assessment of the eye imaging in the emergency department to describe ocular anatomy to show the most common traumatic orbital pathologies

Background

Ocular trauma is a common problem in the emergency department, accounting for at least 20 % of eye-related admissions. It's mostly the result of polytraumatic accidents such as vehicle, sports and industrial accidents or physical assault. There can also be a solely orbital pathology such as a foreign body accident. Urgent assessment means fast care and thus prevention of permanent or partial visual loss and sequela of any kind such as movement impairment. Prompt radiological recognition of orbital pathology is a morbidity reducing part of...

Findings and procedure details

Traumatic findings can be divided into; Orbital bone fractures Extraocular injuries Emphysema Hematoma Optic nerve injury Ocular injuries Penetrating injuries, foreign bodies and ruptured globe Lens subluxation and dislocation Hyphema Posterior segment complications; vitreous hemorrhage, ocular detachments Ocular enucleation 1. Orbital bone fractures Medial wall fracture: As mentioned earlier, the weakest wall is the medial wall ethmoid part.It may be difficult to realize, so the key to distinguishisadjacent emphysema in the orbit (Fig.1) or displacement of the adipose tissue towards the ethmoid cells. In some...

Conclusion

CT is the modality of choice for eye imagingwhich is animportant part of the emergencyexamination.

Personal information and conflict of interest

C. Aydın Kızılkum;Ankara/TR-nothing to disclose

References

Bhatia K., Sharma R. Emergency Medicine: Eye Emergencies. 2nd ed. Chicago:2013. 209-225. Loevner, L. Brain Imaging. 2nd ed. Philadelphia: 2009. 112-114. Lecuona, K. Assessing and managing eye injuries. Community Eye Health, 2005 Oct; 18(55);101-104. Eroglu, Oguz. Acil serviste göz yaralanmalarına yaklaşım. Turkiye Klinikleri J Emerg Med-Special Topics. 2017; 3(1):79-88 Aghadoost, Dawood. Ocular trauma: an overview. Arch Trauma Res. 2014 Jun; 3(2): e21639. Dunkin JM, Crum AV, Swanger RS, Bokhari SAJ. Globe trauma. Seminars in Ultrasound CT MRI. 2011 Feb; 32(1): 51-56.