Survey finds differing management of orbital floor fractures, traumatic optic neuropathy
Click Here to Manage Email Alerts
DENVER — Approximately half of experts report routinely using antibiotics to treat orbital floor fractures and using steroids for traumatic optic neuropathy, according to survey results presented here.
“It’s really interesting because these are such common ailments. However, it’s very controversial how they are managed, from open globes and penetrating trauma to things like shearing injuries and traumatic optic neuropathy,” Sarah C. Miller told Healio/OSN at the Association for Research in Vision and Ophthalmology meeting.
Miller and colleagues conducted an online survey of 33 trauma experts between August 2020 and January 2021 that asked questions regarding routine use of systemic antibiotics and steroids for orbital floor fractures, institution-specific logistic considerations for surgical repair of orbital floor fractures and steroid paradigms for traumatic optic neuropathy management.
The survey found that 54.5% of respondents reported administering systemic antibiotics for orbital floor fractures, and 72.7% reported that they do not administer systemic steroids for orbital floor fractures.
For traumatic optic neuropathy, 63.6% reported using systemic steroids for management.
For orbital floor fractures, repairs were most often completed by oculoplastic surgeons, surgery was often delayed more than 1 week after presentation, and the majority of patients were not admitted after presentation or repair. For traumatic optic neuropathy, several institutions used systemic steroids upon presentation, with a “significant variation” in the dosing and duration of therapy, the authors wrote in the poster presentation.
“We hope to build a case for a definitive, outcome-based and evidence-based task force to help devise outcomes-based guidelines for ocular trauma, specifically traumatic optic neuropathy and orbital floor fractures, to help globally to improve the standard of care,” Miller said.
Collapse
Miller SC, et al. Global current practice patterns for the management of traumatic optic neuropathy and orbital floor fractures. Presented at: Association for Research in Vision and Ophthalmology meeting; May 1-4, 2022; Denver.
Read more about
Click Here to Manage Email Alerts