8/13/2023 0 Comments Orbital blowout fractureThe institutional review board of the Yeungnam University Medical Center approved this study ( YUMC 0), which was conducted in accord with the Declaration of Helsinki. When RBH occurs, time to intervention and surgical decompression is critical for visual recovery and preventing blindness. Surgeons should pay more attention to hemostasis and postoperative care in patients with a large preoperative enophthalmic eye, when time from injury to surgery is long and in revision cases. The incidence of RBH was significantly higher in patients that underwent secondary surgery (odds ratio = 92.9, p = 0.001). Preoperative enophthalmos was also significantly greater in the RBH group (RBH vs. Number of days to surgery was significantly longer in the RBH group (97.0 ± 80.1) than in the Control group (29.0 ± 253.0) ( p = 0.05). All RBH patients fully recovered after the decompression procedure or conservative treatment. Resultįive (1.2%) of the 426 patients who underwent blowout fracture repair developed RBH requiring emergent intervention. Incidences of RBH according to primary or secondary surgery were also investigated, using Fisher’s exact test. Patients requiring emergent orbital decompression due to RBH after surgery (RBH group) were compared with those who did not (Control group), using the Mann-Whitney U-test. Extraocular motility had been recorded in patient charts on a scale from 0 to − 4. MethodĪ retrospective review of 426 blowout fracture patients at a tertiary oculoplastic clinic provided data regarding demographics, physical examination findings, and computed tomography (CT) images. The aim of this study was to identify clinical characteristics of patients with RBH requiring emergent orbital decompression after blowout fracture repair. His one great achievement is being the father of three amazing children.Retrobulbar hemorrhage (RBH) is a rare complication after orbital surgery but associated with ocular complications including blindness. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of , the RAGE podcast, the Resuscitology course, and the SMACC conference. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.Īfter finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne.
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