Assessment of orbital injury in the emergency department

Authors : İhsaniye Süer Doğan, Nezih Kavak, Ece Zengin, Behlül Atalay, Rasime Pelin Kavak, Nurettin Bayram
Pages : 110-115
Doi:10.47582/jompac.1639801
View : 44 | Download : 36
Publication Date : 2025-03-23
Article Type : Research Paper
Abstract :Aims: Orbital injury is a significant clinical presentation in the emergency department (ED). This study aims to evaluate the clinical and radiological findings in patients presenting to the ED with orbital injury. Methods: For patients who presented to the ED due to orbital injuries and underwent computed tomography scanning, data were recorded on age, gender, type of trauma, the presence of additional trauma locations (if any), the injured eye, the cause of injury, and the specific location of the injury. Results: 314 patients were included in the study, with a mean age of 46.54±18.23 years (range: 18–79). Among these, 217 patients (69.1%) were male. Blunt trauma was observed in 202 patients (64.3%), and 102 patients (32.5%) sustained injuries as a result of road traffic accidents. Analysis of injury localization revealed that bone injuries were present in 202 patients (64.3%). Patients who experienced blunt trauma were significantly older (p<0.001). Individuals who suffered from falls from height and falls from the ground had higher mean ages compared to those with other injury types (p<0.001 for both comparisons). Patients involved in road traffic accidents were also found to be older than those with gunshot injuries (p<0.05). A gender specific analysis indicated that, among females, road traffic accidents and falls from the ground were more prevalent, whereas males more frequently sustained gunshot injuries (p<0.001, p<0.001, and p<0.001, respectively). Additionally, anterior chamber injuries were significantly more common in male patients (p<0.001). Conclusion: The analysis indicates that the types and etiologies of orbital injury vary according to the patients\\\' ages, while the patterns of injury differ based on gender.
Keywords : Orbital Yaralanma, , Acil Servis, Bilgisayarlı Tomografi

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