Facial Fracture-Associated Blindness

Béogo, Rasmané; Coulibaly, Toua Antoine; Dolo, Mariam Traoré; Traore, I.; Ouattara, Balla; Diallo, J.W.

doi:10.1097/scs.0000000000004378

Cited by 7 publications

(17 citation statements)

References 20 publications

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“…This fact may be a result of high velocity being the main mechanism of trauma in such cases [4]. Similar observations have been reported in other studies on the subject [16,21,22].…”

Section: Most Of These Studies Have Reported Ocular Injuries In Patie...supporting

confidence: 87%

Ophthalmologic Injuries Associated with Maxillofacial Trauma: A Retrospective 13 Year Analysis

Singh¹,

Patil

2020

BJSTR

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“…This fact may be a result of high velocity being the main mechanism of trauma in such cases [4]. Similar observations have been reported in other studies on the subject [16,21,22].…”

Section: Most Of These Studies Have Reported Ocular Injuries In Patie...supporting

confidence: 87%

Ophthalmologic Injuries Associated with Maxillofacial Trauma: A Retrospective 13 Year Analysis

Singh¹,

Patil

2020

BJSTR

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“…However, if retrobulbar hemorrhage is suspected, a CT scan for diagnostic purposes should not delay treatment initiation [ 3 ]. There are few reports of recovery following vision loss due to retrobulbar hemorrhage from orbital fracture repair [ 4 ]. To minimize vision loss, it is necessary to diagnose and treat quickly.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of retrobulbar hemorrhage after orbital fracture reconstruction is 0.45% to 0.6% [ 2 , 3 ]. Facial fracture associated-blindness is the most common cause of traumatic visual loss following traumatic optic neuropathy and direct eyeball injury [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Delayed-type retrobulbar hematoma caused by low temperature after reconstruction of inferior blow-out fracture

Lee

Kim

Choi

et al. 2021

Arch Craniofac Surg

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Retrobulbar hemorrhage is a disastrous condition that can lead to permanent blindness. As such, rapid diagnosis and treatment are critical. Here, we report a patient who presented with retrobulbar hemorrhage following an orbital floor fracture. Restoration of inferior orbital wall with porous polyethylene implant was underwent. Four days after the orbital floor reconstruction, the patient smoked a cigarette outdoors in -3˚C weather. Cold temperature and smoking caused an increase in his systemic blood pressure. The elevated blood pressure increased intraorbital pressure to the extent of causing central retinal artery occlusion and exacerbated oozing. During exploratory surgery, 3 mL of hematoma and diffuse oozing without arterial bleeding were observed. Prompt diagnosis and treatment prevented vision impairment. Few studies have reported on the risk factors for retrobulbar hemorrhage. This case showed that daily activities, such as exposure to cold weather or tobacco smoking, could be risk factors for retrobulbar hemorrhage.

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“…This finding is similar to reports of previous studies on this subject. [3][4][5][6][7] It is of great concern that most patients with blind eyes were adult males in the productive age group which could have negative economic consequences. This finding implies that individuals younger than 40 years could serve as the target population for instituting preventive measures for blindness from facial injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Facial gunshot injury was strongly associated with loss of sight, and zygomatic complex (ZMC) fracture was the most frequent facial injury. Similarly, Beogo et al 7 in Burkina Faso studied 970 patients who presented with maxillofacial fractures over a 10-year period. They reported 13 eyes of 10 (1.1%) patients (7 unilateral and 3 bilateral) with vision loss.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Blindness From Facial Trauma: A Multi-Centre Nigerian Study

Famurewa

Oginni

Adewara

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of blindness and pattern of facial trauma associated with blindness among Nigerians. Methods A multi-centre retrospective study of all patients with facial trauma resulting in blindness, that were co-managed by maxillofacial surgeons and ophthalmologists in 4 Nigerian public tertiary hospitals between January 2010 and December 2019 was undertaken. Data was analysed by IBM SPSS Statistics (version 21.0 for windows, IBM© Inc, Chicago, IL). Results Of 2070 patients who presented with major facial injuries during the study period, 61 eyes of 56 (2.7%) patients were blind. Blindness was bilateral and unilateral in 5 (8.9%) and 51 (92.1%) patients, respectively. The mean age (SD) at presentation was 36.2 (16.6) years, and 47 (83.9%) of these patients were males. Road traffic accident (n = 27; 48%) was the commonest mechanism of facial trauma, the cheek (n = 18; 40.9%) was the commonest site of associated soft tissue injury and zygomatic complex fracture (n = 19; 24.1%) was the commonest related fracture. Globe rupture (n = 34; 55.7%) was the leading cause of blindness. Enucleation (n = 7; 13.2%) and evisceration (n = 22; 41.5%) were performed on 29 eyes of which 12 (41.4%) patients had ocular prosthesis post-operatively. Conclusion Blindness was recorded in 2.7% of Nigerians with facial trauma. The commonest mechanism of trauma and cause of blindness in at least one eye were road traffic accident and globe rupture, respectively. Eye removal surgery was necessary in about half of the blind eyes.

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Facial Fracture-Associated Blindness

Abstract: The findings of this study commend comprehensive ophthalmologic evaluation in any patient with an orbit wall fracture.

Cited by 7 publications

References 20 publications

Ophthalmologic Injuries Associated with Maxillofacial Trauma: A Retrospective 13 Year Analysis

Ophthalmologic Injuries Associated with Maxillofacial Trauma: A Retrospective 13 Year Analysis

Delayed-type retrobulbar hematoma caused by low temperature after reconstruction of inferior blow-out fracture

Epidemiology of Blindness From Facial Trauma: A Multi-Centre Nigerian Study

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