Background Lower eyelid incisions are widely used for the orbital approach in periorbital trauma and aesthetic surgery. In general, the subciliary approach is known to cause disposition of the lower eyelid by scarring the anterior lamella in some cases. On the other hand, many surgeons believe that a transconjunctival approach usually does not result in such complications and is a reliable meth...

Six patients with blowout fractures of the orbital floor, not associated with infraorbital rim fractures, are presented. Diplopia, infraorbital anesthesia and enophthalmos following blunt trauma to the eye should alert the examiner to the possibility of a blowout fracture with incarceration of extraocular tissues. Early roentgenographic examinations are often difficult to evaluate because of pe...

Figure 1. Intraoperative photo showing the displaced fracture fragment. DESCRIPTION A 55-year-old white man presented with double vision 2 days after low-velocity blunt force–isolated facial trauma. He complained of persistent vertical and horizontal double vision, particularly with inferior and lateral gaze. He had minimal dentition, but he believed that his teeth aligned normally. A computed ...

introduction: the main purpose of this study was to evaluate the prevalence of ophthalmic injuries associated with mid-facial fractures in patients admitted to shahid beheshti university hospital in babol, iran, from 2002 to 2012. materials and methods: a cross-sectional, retrospective study was undertaken to determine the prevalence of ophthalmic injuries associated with mid-facial fractures i...

Within the wide range of severity of orbital fractures, the small group of complex fractures causes most of the sequelae. Therefore identification of severe injuries and adequate treatment is of major importance. The introduction of craniofacial techniques made possible a wide exposure of even large orbital wall defects and their reconstruction by grafts. In spite of significant progresses, rep...

Farm workers are at increased risk for animal-inflicted head injuries that are associated with significant morbidity and occasionally may be fatal. These injuries may cause permanent eye damage with or without concomitant skull base fracture. Here, we present a male farmer who suffered a cow attack that resulted in perforating orbital injury with comminuted frontobasal cranial fracture caused b...