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KMID : 0360219700110020011
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Journal of the Korean Ophthalmological Society
1970 Volume.11 No. 2 p.11 ~ p.13
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Orbital Roof Fractures
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韓德基/Hahn, D.K.
陸康友/權達萬/Yook, K.W./Kwon, D.M.
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Abstract
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These days we often find facial fractures in those patients who involved in an auto accident. Recently we had a 80 years old male patient who was injured in an auto-accident. He was found to have a bad laceration of the skin right above the left brow with associated intensive pain which was not relieved with analgesics and severe nasal. bleedings. Routine skull X-rays only showed right maxillary fracture with a good alignment.
The skin laceration was sutured primarily, but his pain above the left brow was steady for several days. The Waters view showed a left orbital roof fractures beautifully.
In past one of us had a different experience. We had a patient who had a severe bleeding from right eye brow. The Waters view showed orbital roof fractures but we didn´t pay any attention on the dural laceration.. Later he was found to have a dural laceration and leakage of cerebrospinal fluid mixed with hemorrhage.
The purpose of this paper is to remind that we should include waters view in addition to the routine skull series in those patients who were involved in an auto-accident, and that we should rule out a dural laceration in those patients who have bleedings above the eye.
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