TY  - JOUR
PY  - 2018//
TI  - Facial fracture-associated blindness
JO  - Journal of cranialfacial surgery
A1  - Béogo, Rasmané
A1  - Coulibaly, Toua Antoine
A1  - Dolo, Mariam Traoré
A1  - Traoré, Ibraima
A1  - Ouattara, Balla
A1  - Diallo, Jean Wenceslas
SP  - 751
EP  - 753
VL  - 29
IS  - 3
N2  - INTRODUCTION: Yet uncommon, blindness is a potential associated injury of facial fractures. <br><br>METHODS: Epidemiology, mechanisms, fracture types, and outcome of facial fractures-associated blindness in a 10-year period are retrospectively reviewed. <br><br>RESULTS: Out of 907 facial fractures patients, 10 had blindness, giving a frequency of 1.1%. There were 9 men and 1 woman whom age range was 6 to 59 years (mean: 31.2 years). Intentional injury patients were significantly the most at risk of blindness (P = 0.02). In all the patients, the fracture involved at least 1 of the orbit walls. Risk of blindness was significantly higher in naso-fronto-orbito-ethmoidal complex fractures (P = 0.03). The vision loss was recorded in 13 eyes (unilateral in 7 patients and bilateral in 3). Its predominant mechanism was a globe rupture or perforation, recorded in 8 eyes. A treatment with intention to improve the vision was attempted in 1 patient only. None of the patients had vision recovery. <br><br>DISCUSSION: The findings of this study commend comprehensive ophthalmologic evaluation in any patient with an orbit wall fracture.<p />  <p>Language: en</p>
LA  - en
SN  - 1049-2275
UR  - http://dx.doi.org/10.1097/SCS.0000000000004378
ID  - ref1
ER  -