Intraocular pressure variations during zygomatic fracture reduction and fixation: a clinical study.

Hdl Handle:
http://hdl.handle.net/10147/209266
Title:
Intraocular pressure variations during zygomatic fracture reduction and fixation: a clinical study.
Authors:
Murray, Dylan J; O'Sullivan, Sean T
Affiliation:
Department of Plastic and Reconstructive Surgery, Cork University Hospital,, Toronto, Ontario, Canada. dylanmurray@eircom.net
Citation:
Plast Reconstr Surg. 2007 Sep;120(3):746-52.
Journal:
Plastic and reconstructive surgery
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209266
DOI:
10.1097/01.prs.0000270845.82498.3b
PubMed ID:
17700127
Abstract:
BACKGROUND: The reduction of midface fractures has been associated with the rare but devastating complication of blindness. An increase in intraocular pressure is important in the mechanism of blindness in this setting. In this study, the authors assessed the intraocular pressure in patients who underwent zygomatic fracture reduction (with or without fixation). METHODS: Using applanation tonometry, 29 patients underwent intraocular pressure measurements before, during, and after fracture fixation. The contralateral pressures were measured and used as the control. RESULTS: There were 29 patients with a mean age of 35 years, and the mean time to surgery was 5 days. Preoperatively, all patients had normal intraocular pressures and normal visual acuity. All patients underwent a Gillies lift and 18 patients required open reduction and fixation of the frontozygomatic suture (n = 4) or the infraorbital margin (n = 2), and the remainder (n = 12) required fixation of both points. There was no statistically significant increase in the intraocular pressures following the reduction of uncomplicated zygomatic fractures. Statistically significant pressure reductions were noted immediately after reduction and fixation. CONCLUSIONS: The surgical reduction of uncomplicated zygomatic fractures has no adverse effect on the intraocular pressure. It is the authors' opinion that adjunctive measures to reduce the pressures are unnecessary.
Language:
eng
MeSH:
Adult; Aged; Female; *Fracture Fixation; Humans; *Intraocular Pressure; Male; Middle Aged; Zygomatic Fractures/*physiopathology/*surgery
ISSN:
1529-4242 (Electronic)

Full metadata record

DC FieldValue Language
dc.contributor.authorMurray, Dylan Jen_GB
dc.contributor.authorO'Sullivan, Sean Ten_GB
dc.date.accessioned2012-02-03T15:16:39Z-
dc.date.available2012-02-03T15:16:39Z-
dc.date.issued2012-02-03T15:16:39Z-
dc.identifier.citationPlast Reconstr Surg. 2007 Sep;120(3):746-52.en_GB
dc.identifier.issn1529-4242 (Electronic)en_GB
dc.identifier.pmid17700127en_GB
dc.identifier.doi10.1097/01.prs.0000270845.82498.3ben_GB
dc.identifier.urihttp://hdl.handle.net/10147/209266-
dc.description.abstractBACKGROUND: The reduction of midface fractures has been associated with the rare but devastating complication of blindness. An increase in intraocular pressure is important in the mechanism of blindness in this setting. In this study, the authors assessed the intraocular pressure in patients who underwent zygomatic fracture reduction (with or without fixation). METHODS: Using applanation tonometry, 29 patients underwent intraocular pressure measurements before, during, and after fracture fixation. The contralateral pressures were measured and used as the control. RESULTS: There were 29 patients with a mean age of 35 years, and the mean time to surgery was 5 days. Preoperatively, all patients had normal intraocular pressures and normal visual acuity. All patients underwent a Gillies lift and 18 patients required open reduction and fixation of the frontozygomatic suture (n = 4) or the infraorbital margin (n = 2), and the remainder (n = 12) required fixation of both points. There was no statistically significant increase in the intraocular pressures following the reduction of uncomplicated zygomatic fractures. Statistically significant pressure reductions were noted immediately after reduction and fixation. CONCLUSIONS: The surgical reduction of uncomplicated zygomatic fractures has no adverse effect on the intraocular pressure. It is the authors' opinion that adjunctive measures to reduce the pressures are unnecessary.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshFemaleen_GB
dc.subject.mesh*Fracture Fixationen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Intraocular Pressureen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshZygomatic Fractures/*physiopathology/*surgeryen_GB
dc.titleIntraocular pressure variations during zygomatic fracture reduction and fixation: a clinical study.en_GB
dc.contributor.departmentDepartment of Plastic and Reconstructive Surgery, Cork University Hospital,, Toronto, Ontario, Canada. dylanmurray@eircom.neten_GB
dc.identifier.journalPlastic and reconstructive surgeryen_GB
dc.description.provinceMunster-

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