Ophthalmologic Repercussions of Orbital Fractures ()
Author(s)
Philippe Emile France Koffi Bile1*,
Opokou Alexandre Demisères Ory2,
Gosse François Diomande1,
Kouassi Franck-Herman Koffi1,
Ernest Martial Djemi2,
Ange Mickael Goule1,
Liliane Ella Gode1,
Raheemotu Llahi Opeyemi Babajeyu1,
Zana Diabaté1,
Yves Ouattara1,
Ibrahim Abib Diomande1
ABSTRACT
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.
Share and Cite:
Bile, P. , Ory, O. , Diomande, G. , Koffi, K. , Djemi, E. , Goule, A. , Gode, L. , Babajeyu, R. , Diabaté, Z. , Ouattara, Y. and Diomande, I. (2023) Ophthalmologic Repercussions of Orbital Fractures.
Open Journal of Ophthalmology,
13, 248-255. doi:
10.4236/ojoph.2023.132022.
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