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Table of Contents    
LETTER TO EDITOR
Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 1078-1079

Orbital and Visual Apparatus Injuries in Patients with Head Injuries


1 Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
2 Department of Neurosurgery, NIMHANS, Bengaluru, Karnataka, India
3 Department of Community Medicine, ESIC Medical College and Hospital, Faridabad, NCR, India
4 Consultant Neurosurgeon, El Bosque University, RED LATINO. Latin American Trauma and Intensive Neuro-Care Organization, Bogota, Colombia
5 Department of Neurosurgery, S.M.S. Medical College, Jaipur, Rajasthan, India
6 Scientist- D, National Institute of Medical Statistics, Indian Council of Medical Research, (Department of Health Research), Ansari Nagar, Rajasthan, India
7 Department of Emergency Medicine, University of Florida, Jacksonville Florida, US
8 RED LATINO- Latin American Trauma and Intensive Neuro-Care Organization, Bogota, Colombia
9 Department of Statistics, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India
10 Scientist C, VRDL Project, National Institute of Epidemiology (ICMR), Chennai, Tamil Nadu, India
11 Department of Neurosurgery, CK Birla Hospitals - RBH, Jaipur, Rajasthan, India

Date of Submission31-Dec-2019
Date of Decision08-Feb-2020
Date of Acceptance15-May-2020
Date of Web Publication2-Sep-2021

Correspondence Address:
Amit Agrawal
Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore - 524 003, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.325309

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How to cite this article:
Agrawal A, Savardekar A, Singh M, Pal R, Shukla DP, Rubiano A, Sinha VD, Menon GR, Galwankar S, Moscote-Salazar LR, Bhandarkar P, Munivenkatappa A, Meena U, Chakrabarty A. Orbital and Visual Apparatus Injuries in Patients with Head Injuries. Neurol India 2021;69:1078-9

How to cite this URL:
Agrawal A, Savardekar A, Singh M, Pal R, Shukla DP, Rubiano A, Sinha VD, Menon GR, Galwankar S, Moscote-Salazar LR, Bhandarkar P, Munivenkatappa A, Meena U, Chakrabarty A. Orbital and Visual Apparatus Injuries in Patients with Head Injuries. Neurol India [serial online] 2021 [cited 2021 Sep 18];69:1078-9. Available from: https://www.neurologyindia.com/text.asp?2021/69/4/1078/325309




Sir,

We appreciate the valuable inputs from authors regarding the presence of orbital compartment syndrome (OCS) and its associated complications in patients with traumatic brain injury (TBI).[1] Based on the review of the literature it can be presumed that there is not much systematic information regarding occurrences and outcomes of OCS in patients with TBI.[2] There are isolated case reports and small case series which discuss the incidence, management, and outcome of OCS in the TBI patient population.[3],[4],[5],[6],[7],[8],[9],[10] We share the authors' concern that a number of cases with traumatic brain injury present with injuries to the orbit, orbital contents, and neural visual pathways that require a multidisciplinary approach. The authors have rightly pointed out that a high index of clinical suspicion and timely intervention can help to prevent, preserve as well as in the recovery of the visual functions. There are few studies that have tried to address the issues related to visual dysfunctions in patients with traumatic brain injury.[7],[11],[12],[13],[14] There is a need for a further dedicated review of the literature and well-designed prospective studies to understand the spectrum of orbital injuries in patients with TBI.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
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Venugopal NP. Orbital Compartment Syndrome in Head Injury Patients. Neurol India 2021;XX:XX-XX.  Back to cited text no. 1
    
2.
Agrawal A, Savardekar A, Singh M, Pal R, Shukla DP, Rubiano AM, et al. Pattern of reporting and practices for the management of traumatic brain injury: An overview of published literature from India. Neurol India 2018;66:976-1002.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Agrawal A, Reddy VU, Kumar SS, Hegde KV, Rao GM. Transorbital orbitocranial penetrating injury with an iron rod. Craniomaxillofac Trauma Reconstr 2016;9:145-8.  Back to cited text no. 3
    
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Rajendra P, Mathew T, Agrawal A, Sabharawal G. Characteristics of associated craniofacial trauma in patients with head injuries: An experience with 100 cases. J Emerg Trauma Shock 2009;2:89-94.  Back to cited text no. 4
[PUBMED]  [Full text]  
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Agrawal A, Reddy VU, Sandeep Y, Shrikhande NN. Frontal bone fracture extending into the roof and medial wall of orbital fracture causing diplopia. IJNT 2016;13:165-7.  Back to cited text no. 5
    
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Agrawal A, Dwivedi S, Joshi R, Gupta D, Yunus M. Subperiosteal hematoma of the orbit associated with subfrontal hematoma presenting as proptosis. Neurol India 2007;55:423-4.  Back to cited text no. 6
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Jha K, Rajalakshmi A. Evaluation and management of orbital trauma. J Clin Ophthalmol Res 2018;6:77-82.  Back to cited text no. 7
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Satyarthee GD, Sharma BS. Posttraumatic orbital emphysema in a 7-year-old girl associated with bilateral raccoon eyes: Revisit of rare clinical emergency, with potential for rapid visual deterioration. J Pediatr Neurosci 2015;10:166-8.  Back to cited text no. 8
[PUBMED]  [Full text]  
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Khan MA, Agarwal S, Shankar S. Unilateral orbital compartment syndrome with cavernous sinus thrombosis after prolonged prone position anaesthesia for spinal surgery. Delhi J Ophthalmol 2013;23:277-9.  Back to cited text no. 9
    
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Gupta D, Beigi B. Orbital compartment syndrome despite significant traumatic expansion of the orbital cavity. Cranial Maxillofac Trauma Reconstr 2017;10:239-43.  Back to cited text no. 10
    
11.
Roth FS, Koshy JC, Goldberg JS, Soparkar CNS. Pearls of orbital trauma management. Semin Plast Surg 2010;24:398-410.  Back to cited text no. 11
    
12.
Boyette JR, Pemberton JD, Bonilla-Velez J. Management of orbital fractures: Challenges and solutions. Clin Ophthalmol 2015;9:2127-37.  Back to cited text no. 12
    
13.
Allison JR, Kearns A, Banks RJ. Predicting orbital fractures in head injury: a preliminary study of clinical findings. Emerg Radiol 2020;27:31-36.  Back to cited text no. 13
    
14.
Prakash B, Tandon PN, Banerji AK. Transitory cortical blindness following head injury. J Indian Med Assoc 1974;62:164-5.  Back to cited text no. 14
    




 

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