Abstract
INTRODUCTION: The ZMC complex is crucial for orbital integrity as it forms most of the lateral wall and the floor of the orbit. Therefore, the fracture of the zygomaticomaxillary complex destroys the orbital skeleton causing various types of ophthalmic injuries in about 2.7 to 96% of cases. The variability of clinical features is due to differences in the amount of energy delivered, the impact vector, and the duration of the impact of energy. AIM: To study the demographic distribution and clinical manifestation of different types of ophthalmic injuries in patients associated with ZMC fractures and to understand the need for evaluation by an ophthalmologist. OBJECTIVES: To study the common fracture patterns, sex and age demographics, and etiology of ZMC fractures. To study the presence of various types of clinical manifestation in ZMC fractures. MATERIALS & METHODS: A retrospective study was conducted by the Manipal College of Dental Sciences, Manipal, Karnataka, India, by the Department of Oral and Maxillofacial Surgery studying ophthalmic consideration and clinical manifestation of patients having zygomaticomaxillary complex fracture from February 2019 to December 2022. Data collection was done from patient files and subjected to descriptive statistics. RESULTS: It was found that the affected population is mainly Indian males in the second decade of their life mostly due to road traffic accidents. A variety of ophthalmic injuries was noted. Periorbital oedema and ecchymosis are the most common ones.