Orbital Fractures: A Decade of Experience at a Tertiary Ophthalmology Center
نویسندگان
1 School of Optometry, Jiangxi Medical College, Nanchang University, Nanchang City, Jiangxi Province, China
2 Jiangxi Research Institute of Ophthalmology and Visual Science, Nanchang City, Jiangxi Province, China
3 Jiangxi Provincial Key Laboratory for Ophthalmology, Nanchang City, Jiangxi Province, China
4 The Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, Nanchang City, Jiangxi Province, China
5 Jiangxi Provincial Key Laboratory for Ophthalmology, Nanchang City, Jiangxi Province, China
6 School of Optometry, Jiangxi Medical College, Nanchang University, Nanchang City, Jiangxi Province, China
7 Jiangxi Research Institute of Ophthalmology and Visual Science, Nanchang City, Jiangxi Province, China
doi
10.22034/ircmj.2024.203868چکیده
Background and Objectives: Orbital fractures significantly impact patients' quality of life, yet consensus is lacking on their onset characteristics, diagnosis, and treatment plans. This study aims to explore the epidemiological features and share diagnostic and treatment experiences related to orbital fractures. Methods: Retrospective analysis was conducted on data from patients diagnosed with orbital fractures at the Affiliated Eye Hospital of Nanchang University between May 2012 and May 2022. Attributes such as onset year, patient age, and fracture type were considered to gather information on population baseline, onset causes, surgery timing, surgical approach, repair materials, recovery time, and complications. Statistical analysis was performed using SPSS 23.0. Results: The hospital admitted 329 patients, with a female-to-male ratio of approximately 1:2.656. Traffic accidents were the primary cause of orbital fractures (32.52%), and their incidence increased annually. Among simple orbital wall fractures, the inner orbital wall was more common (27.05%). Early surgical intervention in children with orbital fractures reduced recovery time for eye movement disorders. The use of digital medical three-dimensional printing technology reduced complications in orbital fracture surgery. The odds ratio (OR) and 95% confidence interval (CI) are OR = 0.12, 95% CI (0.04~0.37), and P = 0.0002<0.05. Conclusion: Enhanced supervision of traffic violations and accident prevention can curb the rising trend of orbital fracture incidence. Utilizing 3D printing technology in orbital fracture repair can contribute to a decreased occurrence of postoperative complications.