615 Bilan lésionnel des traumatismes contusifs avec fracture de l’orbite

Sakka, Samir G.; Fekih, Sarhan; Hif, S. El; Chaabani, L.; Hmaied, W.; Landoulsi, H.; Haboubi, A.; Bachtobji, A.

doi:10.1016/s0181-5512(07)80428-1

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“…El fekki [12] and Sakka [13], on the other hand, found in their studies isolated Open Journal of Ophthalmology fractures of the floor of the orbit of the pure Blow out type with respectively 57.7% and 66%. In these two types of fracture, only the involvement of the infra-orbital border makes a difference.…”

Section: Discussionmentioning

confidence: 93%

Ophthalmologic Repercussions of Orbital Fractures

Bile,

Ory,

Diomande

et al. 2023

OJOph

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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.

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Section: Discussionmentioning

confidence: 93%