The features of the clinical course, symptoms and the difficulty of diagnosing traumatic injuries of the eye, orbit and optic nerve are described. A total of 952 patients with concomitant craniocerebral injuries and injuries to the eye, orbit, optic nerve were studied in 2018. The possibilities of computer tomography in the diagnosis of traumatic injuries of the visual tract combined with traumatic brain injury and differential diagnosis of intracranial injuries of the visual tract before the hospital and hospital stages were studied. In the structure of craniocerebral trauma, craniofacial accounted for 187 (19.6%), of which 118 (6%) eye injuries, 20 (10.6%) orbit injuries, 4 (2.1%) optic nerve injuries, 19 (10 %) of patients were diagnosed with a fracture of the walls of the orbit. In 5 (2.6%) patients, an isolated fracture of the lower orbital wall was revealed. Total: 158 men (84.4%), 29 women (15.5%). The patients underwent examination, including examination by a multidisciplinary team (neurosurgeon, maxillofacial surgeon, ENT and ophthalmologist). Anamnesis was studied in all patients, a comprehensive ophthalmological examination was performed: visometry (with optimal correction), refractometry, biomicroscopy, ophthalmoscopy and neuro-ophthalmological examination. All patients underwent radiography of the orbits and skull in frontal and lateral projections, CT, MRI of the brain and orbits. To obtain additional information, 24 (12.8%) patients underwent a two-dimensional ultrasound examination - ultrasound - B SCAN of the eyeball, extraocular muscles and retrobulbar space. Timely topical diagnostics and qualified reconstructive surgeries performed in the early period of craniofacial trauma allows achieving regression of oculomotor disorders in 86.6%, prevents severe consequences and preserves the patient's vision.
Eolchiyan S.A., Serova N.K., Kataev M.G. Modern approaches to the surgical treatment of cranio-orbital injuries // Bulletin of Ophthalmology. 2006. No. 6. S. 9-13.
Eolchiyan S.A., Potapov A.A., Van Damme F.A., Ippolitov V.P., Kataev M.G. Craniofacial trauma // Clinical guidelines for traumatic brain injury, ed. A.N. Konovalova, L.B. Likhterman, A.A. Potapova // M .: "Antidor" 2002. - S.313-364
Belchenko V.A. Specialized care for patients with orbital trauma. // Materials of the VII Moscow scientific-practical neuro-ophthalmological conference "Actual issues of neuro-ophthalmology" // M, - 2003, - pp. 12-17.
Borisova S.A. Doppler ultrasound in ophthalmology // Vestn. ophthalmol. -1997. No. 6, - S. 43-45.
Gorbachev DS, Danilichev VF Damage to the orbit // Modern ophthalmology: Ruk. for doctors. - SPb .: Peter, 2000 .-- S. 460-496.
Gorbunov AA Possibilities of computed tomography in the complex diagnosis of eye and orbit injuries: Author's abstract. dis. ... Cand. honey. sciences. - L., 1988 .-- 20 p.
Pear Ya. O. Ophthalmological aspects of the treatment of traumatic deformities of the orbit // Vestn. RAMS. - 2003, No. 2. - S. 38-40.
Kataev M.G., Eolchiyan S.A., Tishkova A.P. Diagnostics and treatment tactics in orbital fractures // Vestn. ophthalmus. -2006. - No. 1. - S. 26-32.
Konovalov AN, Kornienko VN, Pronin IN. Magnetic resonance imaging in neurosurgery. M .: Vidar, 1997.-472s.
Libman E.S., Vervelskaya V.M., Melkumyants T.A. Rehabilitation prognosis for optic nerve atrophy // Abstracts of Moscow. scientific-practical conference. - 1997, p. 22.
Moshetova L.K., Ogleznev K.Ya., Kochergin S.A., Kotelin I.V. Magnetic resonance imaging in complex examination of patients with concomitant contusion injury of the orbit, eyeball and optic nerve // Advances in theoretical and clinical medicine. Materials of the III scientific session of the Russian Medical Academy of Postgraduate Education. M., 1999.S. 327–328.
Nikolaenko V.P., Astakhov Yu.S. Part 1. Epidemiology and classification of orbital fractures. Clinical picture and diagnosis of fractures of the lower wall of the orbit // Ophthalmologich. statements. - 2009. - T.2. - No. 2. - S. 56-70.
Sidorenko E.I., Guseva M.R., Dubovskaya L.A., Lobanova I.V. Intensive drug therapy by the method of irrigation of Tenon's space or retrobulbar space as a way to increase the efficiency of electrical stimulation of MN in its partial atrophies of various origins in children. // Abstracts of the Moscow Scientific and Practical Conference. 1997.S. 29.
Sidorenko EI, Gorbunova ED, Lekishvili MV, Barakina O. Yu. Surgical treatment of traumatic orbital injuries in children // Vestn. ophthalmology. - 2005. - T. 121, No. 2. - S. 41-42.
Smirnova A.F, Golubov K.E. G.B. Kotlubey Ophthalmic aspects of the diagnosis of cranio-orbital fractures.
Sukhin L.A. , Smirnova A.F. , Krutitsky A.G. On the issue of diagnostics and treatment tactics in open cranio-orbital fractures with damage to the optic nerve. 1991 Ophthalmological journal pp. 79-81.
Shaginyan G.G., Smirnov V.A., Morozova L.A. Surgical treatment of patients with penetrating cranio-orbital wounds // Neurosurgery. 2004. No. 3. S. 43–46.
Anderson R.L. Optic Nerve Blindness Following Blunt Forehead Trauma // Am. Acad. Of Ophthalmology. 1982. Vol. 89. №5. P. 445–456.
Holmgren E. J. Facial computed tomography use in trauma patients who require a head computed tomogram / Holmgren E.P., Dierks E.J., Homer L.D., Potter B.E. // Oral Maxillofac Surg. 2004. Vol. 62. №8. P. 913–918.
Nakamaru S., Seki Т., Asano T. A study of the intraorbital blood flow us¬ing ultrasound color Doppler mapping images in optic canal fracture cases // Nippon–Ganka–Gakkai–Zasshi. 1995. Jul. Vol. 99. №7. P. 843–848.
Poole M.D., Briggs М. Cranio–orbital trauma: a team approach to management // Annals of the Royal College of Surgeons of England. 1989. Vol. 71. P. 187–194.
Sergott R. С. Optic Nerve Sheath Decompression. History, Techniques, and Indications. //Int. Ophthalmol. Clinic–1991.Vol. 31. №4. P. 71–80.
Steinsapir К. D., MD, and Robert A. Goldberg, M. Traumatic Optic Neu¬ropathy // Surv. of Ophthalmology. 1994. Vol. 38. №6. P. 487–517.