A Clinical Study of Orbital Fractures Following Road Traffic Accident (RTA) In a Tertiary Care Centre:

Ajay A. Kudva; Akansha Shetty; Sudhir Hegde; Rajani K; Devika P; Dhananjaya K. H

Ajay A. Kudva Department of Ophthalmology, A J Institute of Medical Sciences, Mangalore, India.
Akansha Shetty Department of Ophthalmology, A J Institute of Medical Sciences, Mangalore, India.
Sudhir Hegde Department of Ophthalmology, A J Institute of Medical Sciences, Mangalore, India.
Rajani K Department of Ophthalmology, A J Institute of Medical Sciences, Mangalore, India.
Devika P Department of Ophthalmology, A J Institute of Medical Sciences, Mangalore, India.
Dhananjaya K. H Department of Ophthalmology, A J Institute of Medical Sciences, Mangalore, India.

Keywords: Orbit, Orbital Fracture, Road Traffic Accident

Abstract

Background: Purpose: To analyze the pattern of orbital fracture following road traffic accident and to study the pattern of ocular injuries associated with it. Subjects and Methods: A prospective observational study of 50 patients with orbital fractures who had come to ophthalmology outpatient department and casualty over a period of 6 months in a tertiary care centre. Results: The average age of the patient is 45 years, ranging from 15 to 75 years. More than 90% of the patients were male. Motor vehicle accidents were the most commonly documented mechanism of injury accounting for 70% of the fractures. 60 % of the patients had complex fracture involving two or more walls of the orbit. Among the orbital fracture 75% had floor, 70% had lateral wall, 33% medial wall and 25% had roof fracture. Conclusion: Males most commonly in their third decade of life are affected in RTAs. Complex fractures involving two or more walls are more common in RTAs. Floor is the most common wall to be involved.

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