We aim to present a unique case with discharging lacrimal gland fistula secondary to severe head trauma by an animal. A 9-year-old girl presented with serous fluid discharge from a cutaneous fistula in the left orbital region. The patient had history of surgery for traumatic frontal bone fracture and skin laceration in the superior orbital rim three weeks earlier. She underwent a complete ophth...

The researchers establish a new classification system for zygomatic fractures based on computed tomography and mechanism of injury, which could be used to inform treatment options. Patients treated for isolated zygomatic fracture at the Keio University Hospital between 2004 and 2011 were recruited for this study. The cases were classified into 4 types based on the fracture pattern of the zygoma...

A 51-year old man presented with vertical and torsional diplopia after reduction of a blowout fracture at another hospital one year ago. He had no anormalies of head position and 14 prism diopters (PD) right hypertropia (RHT) in the primary position. In upgaze no vertical deviation was found, and hyperdeviation on downgaze was 35PD. Bielschowsky head tilt test showed a negative response. Distin...

BACKGROUND The term "orbital blow-out fracture" is referred to as the mechanism by which an impact to the eyeball is transposed as a mechanical energy to the orbital walls, causing them to fracture. Despite a proper surgical technique, a successful anatomic reconstruction of the orbit, and an accurate follow-up, 3 complications are still frequently observed at long-term follow-up: diplopia, eno...

PURPOSE To report neural rim dimensions for South Indians and examine rim shape with relevance to clinical evaluation. METHODS Healthy phakic participants (n = 623) of the Chennai Glaucoma Study with normal frequency-doubling perimetry underwent complete eye examinations including optic disc digital stereophotography. Planimetry was performed under stereoviewing conditions using custom softwa...

The aim of the study was to assess factors leading revision surgery and implant position primary orbital fracture reconstructions. A retrospective cohort included patients who underwent floor and/or medial wall reconstruction for recent trauma. Demographics, type, implant-related variables, postoperative were analyzed. overall rate 6.5% (15 232 surgeries). highest in combined midfacial fracture...

A 44-year-old man was referred to our department with diplopia, periorbital swelling and haematoma of the left eye after orbital trauma due to a punch. During the examination, mild enophthalmos, hypertropia and a total absence of infraduction were observed. An orbital computed tomography (CT) scan demonstrated a left orbital floor blow-out fracture, with caudal herniation of periorbital fat and...

The current standard of managing facial bone fractures is the use of rigid internal fixation. This method provides good stabilization and repair for mid-face fractures such as the zygomatico-orbital fracture. Nowadays, for the young and old, patients want not only rapid bone healing, but also good facial aesthetics after surgical treatment following maxillofacial trauma. Therefore, osteosynthes...