Ophthalmologic Repercussions of Orbital Fractures

作     者：Philippe Emile France Koffi Bile Opokou Alexandre Demisères Ory Gosse François Diomande Kouassi Franck-Herman Koffi Ernest Martial Djemi Ange Mickael Goule Liliane Ella Gode Raheemotu Llahi Opeyemi Babajeyu Zana Diabaté Yves Ouattara Ibrahim Abib Diomande Philippe Emile France Koffi Bile;Opokou Alexandre Demisères Ory;Gosse François Diomande;Kouassi Franck-Herman Koffi;Ernest Martial Djemi;Ange Mickael Goule;Liliane Ella Gode;Raheemotu Llahi Opeyemi Babajeyu;Zana Diabaté;Yves Ouattara;Ibrahim Abib Diomande

作者机构：Ophthalmology Department Bouaké University Hospital Bouake Côte d’Ivoire Maxillofacial Surgery and Stomatology Department Bouaké University Hospital Bouake Côte d’Ivoire 

出 版 物：《Open Journal of Ophthalmology》 (眼科学期刊（英文）)

年 卷 期：2023年第13卷第2期

页      面：248-255页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Orbit Fracture Ophthalmologic Repercussions 

摘      要：Orbital fractures refer to all continuity solutions involving the wall of the orbit. They are responsible for serious complications, particularly ophthalmological. Objective: To identify the epidemiological, anatomical and clinical aspects as well as the possible ocular complications of orbital fractures in the Gbêkê region. Methods: Prospective study from July 1, 2020, to October 31, 2020, i.e., a duration of 4 months. It took place in the ophthalmology department of the University Hospital of Bouaké. Patients with orbital fractures with ocular repercussions received during the study period were included. Results: Out of 27 cases of orbital floor fracture received, 20 had ocular complications, i.e., a prevalence of 74.07%. The average age was 32 years with extremes of 18 and 48 years. The male gender predominated with 80%, i.e. a sex ratio of 4. Subconjunctival hemorrhage was the most frequent reason for consultation (70%). The etiology was dominated by road traffic accidents (85%). The average consultation time was 24 hours. 80% of the patients had a distance visual acuity (DVA) between 3/10 and 10/10.) Diplopia was observed in 60% of patients. Blow out fracture (70%) was the most prominent orbital lesion. At the paraclinical level, 80% of the patients had performed a CT scan of the orbit. Evisceration was the predominant ophthalmologic surgical management (4 patients). At the bone level, reconstruction of the orbital floor with a polydioxanone plate (PDS) was performed in 50% of patients. Conclusion: The risk of ocular injury in orbital fractures is frequent because of the close relationship between the orbit and the eyeball.