Stumpfe Gewalteinwirkung

Purpose. This case report describes the evidence-based work-up of blunt force ocular trauma that resulted in a zygomaticomaxillary fracture. Sequelae of blunt trauma, management, and referral for surgical consultation will be reviewed. Material and Methods. A patient presented for an eye examination following a referral from dentistry after receiving a computerized tomography (CT) scan that confirmed orbital fracture to rule out globe injury prior to maxillofacial surgery. The patient underwent a comprehensive dilated examination to evaluate vision, anterior and posterior segment structures. Results. The examination revealed a sub conjunctival hemorrhage and eyelid edema, with no other signs of ocular trauma. After the comprehensive examination, the patient was educated on the finding of a subconjunctival hemorrhage and was reassured regarding the self-limiting and benign nature of the condition. The patient was cleared for maxillofacial surgery and instructed to return to the clinic for refraction and to rule out any delayed sequelae of ocular trauma. Conclusion. Blunt force trauma to the eye can cause a host of ocular sequelae that may present as acute or delayed signs and symptoms. These sequelae can be managed by optometrists in hospital and outpatient settings. It is important to be aware of the potential long-term sequelae and how to treat, manage, or refer these patients. Reassurance is important when patients present with ocular signs that appear more alarming than they are. Education is imperative to preventing reoccurrence of trauma and to motivate the patient to remain compliant with the treatment plan.