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Lewis J. Singer, MD
Roanoke, Va

JAMA. 1985;254(2):230.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the Dec 28, 1984, issue of THE JOURNAL, Drs Schultz and de Camara¹ described various types of facial athletic injuries, the approach to their diagnosis, and their treatments. Unfortunately, this article did not adequately emphasize the possibility of concurrent eye, ear, nose, and throat, or neurological injuries. As an ophthalmologist, I noted only one mention of concurrent eye injury, which was "to the globe whenever a penetrating eyelid laceration was present."

While many athletic-related facial injuries may appear minor, it remains the responsibility of the physician to completely evaluate a patient in a multisystem fashion. Eye injuries can result without external or radiographic evidence of other facial abnormalities. Following a complete history, an eye examination should be performed. The complete eye examination would include visual acuity testing, the evaluation of extraocular movements, pupillary light reflexes, slit-lamp examination, intraocular pressure measurement, and funduscopic evaluation. Evaluations for . . . [Full Text PDF of this Article]

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