2020 - 3 Issue

Review

Trauma in Oculoplastic Surgery A Review

Adam Kopecký ORCID
Jan Němčanský ORCID

Full Text links

DOI: 10.31348/2020/18

Published in Czech and Slovak Ophtalmology: 2020 - 3

Published on website: 10.10.2020

Keywords: oculoplastic surgery, trauma, eyelid trauma, orbital trauma, lacrimal trauma

Summary

The aim of this article is to present the basics of traumatology in oculoplastic surgery and to review the literature about this topic. This review sums up the problematic of injuries of the eyelid, lacrimal system and orbit. The most important types of trauma, their treatment options, and the most common complications are described. In majority of oculoplastic traumas, surgical reconstruction is the treatment of choice. The surgery is often performer immediately, but sometimes the reconstruction of eyelid and lacrimal injuries can be postponed up to 48 hours, if the immediate surgery is not possible. Although the recommendations from the literature on this topic are variable, most of the patients require at least local antibiotics, more complex traumas systemic antibiotics. Careful diagnostics and correctly performed surgical treatment, either only by ophthalmologist, or oculoplastic surgeon, or a multi-disciplinary team for more complex injuries, are the key to good functional and aesthetic results of the reconstruction.

References

  1. Watts MT. The history of oculoplastic surgery. Facial Plast Surg. 1993 Apr;9(2):151–6.
  2. Ruben S. The incidence of complications associated with retrobulbar injection of anaesthetic for ophthalmic surgery. Acta Ophthalmol (Copenh). 1992 Dec;70(6):836–8.
  3. Sahraravand A, Haavisto AK, Holopainen JM, Leivo T. Ocular trauma in the Finnish elderly - Helsinki Ocular Trauma Study. Acta Ophthalmol. 2018 Sep;96(6):616–622.
  4. Herzum H, Holle P, Hintschich C. Eyelid injuries: epidemiological aspects. Ophthalmologe. 2001 Nov;98(11):1079–82.
  5. Koch KR, Kopecky A, Heindl LM. Management of Periocular Soft Tissue Injuries. Klin Monbl Augenheilkd. 2016 Sep;233(9):1071–87.
  6. Chang CH, Chen CL, Ho CK et al. Hospitalized eye injury in a large industrial city of South-Eastern Asia. Graefes Arch Clin Exp Ophthalmol 2008; 246: 223–228
  7. Sadiq MA, Corkin F, Mantagos IS. Eyelid Lacerations Due to Dog Bite in Children. J Pediatr Ophthalmol Strabismus. 2015 Nov- -Dec;52(6):360–3.
  8. Heichel J, Struck HG, Viestenz A. [Primary Reconstruction of Lacrimal Ducts after Trauma - Bicanaliculonasal Intubation Using Autostable Tubes]. Klin Monbl Augenheilkd. 2019 May 2. doi: 10.1055/a-0839-5172.
  9. Jatla KK, Enzenauer RW: Orbital fractures: a review of current literature. Curr Surg 2004, 61:25–29.
  10. Shin JW, Lim JS, Yoo G, Byeon JH. An analysis of pure blowout fractures and associated ocular symptoms. J Craniofac Surg. 2013 May;24(3):703–7.
  11. Joseph JM, Glavas IP. Orbital fractures: a review. Clin Ophthalmol. 2011 Jan 12;5:95–100.
  12. Malhotra R, Sheikh I, Dheansa B. The management of eyelid burns. Surv Ophthalmol. 2009 May-Jun;54(3):356–71.
  13. Fannin LA, Fitch CP, Raymond WR, Flanagan JC, Mazzoli RA. Eye injuries from merchandise display hooks. American Journal of Ophthalmology. 1995. 120(3)397–399.
  14. Harris GJ. Canalicular Laceration at Birth. 1988. 105(3):322–323.
  15. Cruz AA, Eichenberger GC. Epidemiology and management of orbital fractures. Curr Opin Ophthalmol. 2004 Oct;15(5):416–21.
  16. Mashriqi F, Iwanaga J, Loukas M, D‘Antoni AV, Tubbs RS. Penetrating Orbital Injuries: A Review. Cureus. 2017 Sep 29;9(9):e1725
  17. Kreidl KO, Dennis YK, Mansour SE: Prevalence of significant intraocular sequelae in blunt orbital trauma. Am J Emerg Med 2003, 21:525–528.
  18. Lim JM, Hou JH, Singa RM, Aakalu VK, Setabutr P. Relative incidence of blepharoptosis subtypes in an oculoplastics practice at a tertiary care center. Orbit. 2013 Aug;32(4):231–4.
  19. Lin KY, Ngai P, Echegoyen JC, Tao JP. Imaging in orbital trauma. Saudi J Ophthalmol. 2012 Oct;26(4):427–32.
  20. Joseph DP, Pieramici DJ, Beauchamp NJ Jr. Computed tomography in the diagnosis and prognosis of open-globe injuries. Ophthalmology. 2000 Oct;107(10):1899–906.
  21. Wang JJ, Koterwas JM, Bedrossian EH Jr, Foster WJ. Practice patterns in the use of prophylactic antibiotics following nonoperative orbital fractures. Clin Ophthalmol. 2016 Oct 27;10:2129–2133.
  22. Perry JD, Aguilar CL, Kuchtey R. Modified vertical mattress technique for eyelid margin repair. Dermatol Surg. 2004 Dec. 30(12 Pt 2):1580–2
  23. Hishmi AM, Koch KR, Matthaei M, Bölke E, Cursiefen C, Heindl LM. Modified Hughes procedure for reconstruction of large full- -thickness lower eyelid defects following tumor resection. Eur J Med Res. 2016 Jun 30;21(1):27.
  24. Kopecky A, Koch KR, Bucher F, Cursiefen C, Heindl LM. Resul- ts of Cutler-Beard procedure for reconstruction of extensive full thickness upper eyelid defects following tumor resection. Ophthalmologe. 2016 Apr;113(4):309–13.
  25. Kopecky A, Rokohl AC, Heindl LM. Techniques for the Reconstruction of the Posterior Eyelid Lamella. Klin Monbl Augenheilkd. 2018 Dec;235(12):1415–1428.
  26. McIndoe AH. Total reconstruction of the burned face. Br J Plastic Surg. 1983;36:410–20
  27. Kohlhaas M, Wiegmann L, Gaszczyk M, Walter A, Schaudig U, Richard G. Lacrimal duct treatment with ring intubation in injuries of the upper and lower eyelids. Ophthalmologe. 2001 Aug;98(8):743– 6.
  28. Bai F, Tao H, Zhang Y et al. Old canalicular laceration repair: a retrospective study of the curative effects and prognostic factors. Int J Ophthalmol 2017; 10: 902–907
  29. Kim T, Yeo CH, Chung KJ, Lee JH, Kim YH. Repair of Lower Canalicular Laceration Using the Mini-Monoka Stent: Primary and Revisional Repairs. J Craniofac Surg. 2018 Jun;29(4):949–952.
  30. Komínek, P.: Poranění slzných cest. In Komínek, P., Červenka, S., Müller, K.: Nemoci slzných cest. Maxdorf 2003, Praha, s 170–75
  31. Gart MS, Gosain AK. Evidence-based medicine: Orbital floor fractures. Plast Reconstr Surg. 2014 Dec;134(6):1345–55.
  32. Kim, H. S., Jeong, E. C. (2016). Orbital Floor Fracture. Archives of craniofacial surgery, 17(3), 111–118.
  33. Pham CM, Couch SM. Oculocardiac reflex elicited by orbital floor fracture and inferior globe displacement. Am J Ophthalmol Case Rep. 2017 Jun;6:4–6
  34. Burnstine MA. Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol. 2003 Oct;14(5):236–40.
  35. Beigi B, Khandwala M, Gupta D. Management of pure orbital floor fractures: a proposed protocol to prevent unnecessary or early surgery. Orbit. 2014 Oct;33(5):336–42.
  36. Kopecky A, Rokohl AC, Nemcansky J, Koch KR, Matousek P, Heindl LM. Retrobulbar Haematoma - a Complication that May Impair Vision. Klin Monbl Augenheilkd. 2019 Aug 15.
  37. Edge KR, Nicoll JM. Retrobulbar hemorrhage after 12,500 retrobulbar blocks. Anesth Analg. 1993 May;76(5):1019–22.
  38. Ruben S. The incidence of complications associated with retrobulbar injection of anaesthetic for ophthalmic surgery. Acta Ophthalmol (Copenh). 1992 Dec;70(6):836–8.
  39. Ujam A, Perry M. Emergency management for orbital compartment syndrome-is decompression mandatory? Int J Oral Maxillofac Surg. 2016 Nov;45(11):1435–1437.
  40. Hurst J, Johnson D, Campbell R, Baxter S, Kratky V. Orbital compartment syndrome in a burn patient without aggressive fluid resuscitation. Orbit. 2014 Oct;33(5):375–7.
  41. Cirovic S, Bhola R M, Hose D R. et al.Computer modelling study of the mechanism of optic nerve injury in blunt trauma. Br J Ophthalmol. 2006;90(6):778–783.
  42. Walsh F B. Pathological-clinical correlations. I. Indirect trauma to the optic nerves and chiasm. II. Certain cerebral involvements associated with defective blood supply. Invest Ophthalmol. 1966;5(5):433–449
  43. Li J, Shi W, Li M, Wang Z, He H, Xian J, et al. Time-dependent diffusion tensor changes of optic nerve in patients with indirect traumatic optic neuropathy. Acta Radiol. 2014;55:855–63.
  44. Kumaran, A. M., Sundar, G., & Chye, L. T. (2015). Traumatic optic neuropathy: a review. Craniomaxillofacial trauma & reconstruction, 8(1), 31–41.
  45. Yang WG, Chen CT, Tsay PK, de Villa GH, Tsai YJ, Chen YR. Outcome for traumatic optic neuropathy--surgical versus nonsurgical treatment. Ann Plast Surg. 2004 Jan;52(1):36–42.
  46. Boush GA, Lemke BN. Progressive infraorbital nerve hypesthesia as a primary indication for blow-out fracture repair. Ophthalmic Plast Reconstr Surg. 1994 Dec;10(4):271–5.
  47. Homer N, Glass LR, Lee NG, Lefebvre DR, Sutula FC, Freitag SK, Yoon MK. Assessment of Infraorbital Hypesthesia Following Orbital Floor and Zygomaticomaxillary Complex Fractures Using a Novel Sensory Grading System. Ophthalmic Plast Reconstr Surg. 2019 Jan/ Feb;35(1):53–55.
  48. Howe L, Jones NS. Guidelines for the management of periorbital cellulitis/abscess. Clin Otolaryngol Allied Sci. 2004 Dec;29(6):725– 728.
  49. Starska K, Lukomski M, Starska-Dawidowskda D. Preseptal orbital abscess as a post-traumatic late complication-review of the literature and case report. Otolaryngol Pol. 2007;61(1):331–334.
  50. Olds C, Spataro E, Li K, Kandathil C, Most SP. Postoperative Antibiotic Use Among Patients Undergoing Functional Facial Plastic and Reconstructive Surgery. JAMA Facial Plast Surg. 2019 Oct 24.