TITLE:
Ophthalmologic Repercussions of Orbital Fractures
AUTHORS:
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
KEYWORDS:
Orbit, Fracture, Ophthalmologic Repercussions
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.13 No.2,
May
18,
2023
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.