Intraocular Pressure as an Index of Ocular Injury in Orbital Fractures

H. Alexander Arts, David W Eisele, Larry G. Duckert

Research output: Contribution to journalArticle

Abstract

An improved method of screening for ocular injuries in patients sustaining orbital fractures is proposed. We performed a retrospective study of 107 patients who sustained orbital fractures. Intraocular pressures were measured on presentation in 17 patients and were found to be elevated on the side of the injury in eight patients, five (63%) of whom had significant ocular injury. No patient with normal intraocular pressure was found to have an ocular injury. In a prospective study, the intraocular pressures of 30 patients sustaining orbital fractures were measured. Twelve patients (40%) had normal (22 mm Hg) or a difference between eyes of greater than or equal to 3 mm Hg. Eleven (61%) of these patients were found to have sustained an ocular injury. We conclude that intraocular hypertension or significant interocular pressure differences should alert the physician to a potential ocular injury. (Arch Otolaryngol Head Neck Surg 1989;115:213-216).

Original languageEnglish (US)
Pages (from-to)213-216
Number of pages4
JournalArchives of Otolaryngology--Head and Neck Surgery
Volume115
Issue number2
DOIs
StatePublished - 1989
Externally publishedYes

Fingerprint

Orbital Fractures
Eye Injuries
Intraocular Pressure
Retrospective Studies
Head
Prospective Studies
Hypertension
Physicians
Pressure
Wounds and Injuries

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Intraocular Pressure as an Index of Ocular Injury in Orbital Fractures. / Arts, H. Alexander; Eisele, David W; Duckert, Larry G.

In: Archives of Otolaryngology--Head and Neck Surgery, Vol. 115, No. 2, 1989, p. 213-216.

Research output: Contribution to journalArticle

@article{dc1fbe2f142b462e81624e66c962af10,
title = "Intraocular Pressure as an Index of Ocular Injury in Orbital Fractures",
abstract = "An improved method of screening for ocular injuries in patients sustaining orbital fractures is proposed. We performed a retrospective study of 107 patients who sustained orbital fractures. Intraocular pressures were measured on presentation in 17 patients and were found to be elevated on the side of the injury in eight patients, five (63{\%}) of whom had significant ocular injury. No patient with normal intraocular pressure was found to have an ocular injury. In a prospective study, the intraocular pressures of 30 patients sustaining orbital fractures were measured. Twelve patients (40{\%}) had normal (22 mm Hg) or a difference between eyes of greater than or equal to 3 mm Hg. Eleven (61{\%}) of these patients were found to have sustained an ocular injury. We conclude that intraocular hypertension or significant interocular pressure differences should alert the physician to a potential ocular injury. (Arch Otolaryngol Head Neck Surg 1989;115:213-216).",
author = "Arts, {H. Alexander} and Eisele, {David W} and Duckert, {Larry G.}",
year = "1989",
doi = "10.1001/archotol.1989.01860260087020",
language = "English (US)",
volume = "115",
pages = "213--216",
journal = "Archives of Otolaryngology",
issn = "2168-6181",
publisher = "American Medical Association",
number = "2",

}

TY - JOUR

T1 - Intraocular Pressure as an Index of Ocular Injury in Orbital Fractures

AU - Arts, H. Alexander

AU - Eisele, David W

AU - Duckert, Larry G.

PY - 1989

Y1 - 1989

N2 - An improved method of screening for ocular injuries in patients sustaining orbital fractures is proposed. We performed a retrospective study of 107 patients who sustained orbital fractures. Intraocular pressures were measured on presentation in 17 patients and were found to be elevated on the side of the injury in eight patients, five (63%) of whom had significant ocular injury. No patient with normal intraocular pressure was found to have an ocular injury. In a prospective study, the intraocular pressures of 30 patients sustaining orbital fractures were measured. Twelve patients (40%) had normal (22 mm Hg) or a difference between eyes of greater than or equal to 3 mm Hg. Eleven (61%) of these patients were found to have sustained an ocular injury. We conclude that intraocular hypertension or significant interocular pressure differences should alert the physician to a potential ocular injury. (Arch Otolaryngol Head Neck Surg 1989;115:213-216).

AB - An improved method of screening for ocular injuries in patients sustaining orbital fractures is proposed. We performed a retrospective study of 107 patients who sustained orbital fractures. Intraocular pressures were measured on presentation in 17 patients and were found to be elevated on the side of the injury in eight patients, five (63%) of whom had significant ocular injury. No patient with normal intraocular pressure was found to have an ocular injury. In a prospective study, the intraocular pressures of 30 patients sustaining orbital fractures were measured. Twelve patients (40%) had normal (22 mm Hg) or a difference between eyes of greater than or equal to 3 mm Hg. Eleven (61%) of these patients were found to have sustained an ocular injury. We conclude that intraocular hypertension or significant interocular pressure differences should alert the physician to a potential ocular injury. (Arch Otolaryngol Head Neck Surg 1989;115:213-216).

UR - http://www.scopus.com/inward/record.url?scp=0024509686&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024509686&partnerID=8YFLogxK

U2 - 10.1001/archotol.1989.01860260087020

DO - 10.1001/archotol.1989.01860260087020

M3 - Article

C2 - 2914093

AN - SCOPUS:0024509686

VL - 115

SP - 213

EP - 216

JO - Archives of Otolaryngology

JF - Archives of Otolaryngology

SN - 2168-6181

IS - 2

ER -