ОФТАЛЬМОЛОГИЧЕСКАЯ ДИАГНОСТИКА И ЛЕЧЕНИЕ СКУЛООРБИТАЛЬНЫХ ПОВРЕЖДЕНИЙ ПРИ ЧЕРЕПНО-МОЗГОВЫХ ТРАВМАХ

Аннотация

The aim of our study was to study the ophthalmological symptoms in patients with fractures of the zygomatic-orbital complex in craniocerebral trauma, the development of traumatic optical neuropathy (TON) depending on hemodynamic disorders. Materials and methods: From 01.09.2015 to 01.09.2019, 3013 patients with craniocerebral trauma were hospitalized in the department of maxillofacial surgery, of which 821 were diagnosed with various fractures of the bones of the face middle zone. Results: The leading ophthalmological symptoms of injuries of the zygomatic-orbital complex are: enophthalmos, limited movement of the eyeballs, diplopia. Traumatic optical neuropathy in this pathology occurs in 20.9%. Timely implementation of reconstructive operations at an early stage allows you to restore functional disorders: dystopia in 89.8% of cases, strabismus correction in 73.6%. diplopia-in 91.5% and get good cosmetic results.