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

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    Authors
    Murray, Dylan J
    O'Sullivan, Sean T
    Affiliation
    Department of Plastic and Reconstructive Surgery, Cork University Hospital,, Toronto, Ontario, Canada. dylanmurray@eircom.net
    Issue Date
    2012-02-03T15:16:39Z
    MeSH
    Adult
    Aged
    Female
    *Fracture Fixation
    Humans
    *Intraocular Pressure
    Male
    Middle Aged
    Zygomatic Fractures/*physiopathology/*surgery
    
    Metadata
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    Citation
    Plast Reconstr Surg. 2007 Sep;120(3):746-52.
    Journal
    Plastic and reconstructive surgery
    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
    ISSN
    1529-4242 (Electronic)
    ae974a485f413a2113503eed53cd6c53
    10.1097/01.prs.0000270845.82498.3b
    Scopus Count
    Collections
    Cork University Hospital

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