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.
References
[1]
Eballé, A.O., Ndocko, E.M., Ebana, S.R., Mbella, L.N. and Mvogo, C.E. (2016) The Problem of Oculo-Orbital Trauma Due to Motor Vehicle Accidents Involving Commercial Motorbikes in Douala, Cameroon. Journal Français d’Ophtalmologie, 39, 596-602. https://doi.org/10.1016/j.jfo.2016.07.001
[2]
Morax, S. (1996) Orbital trauma. éditions Scientifiques et Médicales Elsevier SAS, 21-700-D-10.
[3]
Guly, C.M., Guly, H.R., Bouamra, O., Gray, R.H. and Lecky, F.E. (2006) Ocular Injuries in Patients with Major Trauma. Emergency Medicine Journal, 23, 915-917. https://doi.org/10.1136/emj.2006.038562
[4]
Nagase, D.Y., Courtemanche, D.J. and Peters, D.A. (2006) Facial Fractures-Association with Ocular Injuries: A 13-Year Review of One Practice in a Tertiary Care Center. Canadian Journal of Plastic Surgery, 14, 167-171. https://doi.org/10.1177/229255030601400303
[5]
Tong, L., Bauer, R.J. and Buchman, S.R. (2001) A Current 10-Year Retrospective Survey of 199 Surgically Treated Orbital Floor Fractures in a Nonurban Tertiary Care Center. Plastic and Reconstructive Surgery, 108, 612-621. https://doi.org/10.1097/00006534-200109010-00003
[6]
Nzegwu, M.A., Aligbe, J.U. and Banjo, A.A.F. (2008) Patterns of Morbidity and Mortality amongst Motorcycle Riders and Their Passengers in Benin-City Nigeria: One-Year Review. Annals of African Medicine, 2, 82-85. https://doi.org/10.4103/1596-3519.55675
[7]
Krah, K.L., Yao, L.B., Séry, B.J.L.N., M’bra, K.I., Bénié, A.C., Kouassi, K.J.E., Sai, SS., Ogondon, B. and Kodo, M. (2013) Données Epidémiologiques Des Accidents De Moto Aux Urgences Chirurgicales Du Chu De Bouake. Revue International des Sciences Médicales, 15, 161-164.
[8]
Koki, G., Epée, E., Omgbwa Eballe, A., Ntyame, E., Mbogos Nsoh, C., Bella, A.L. and Ebana Mvogoa, C. (2015) Ocular Trauma in Urban Cameroon: About 332 Cases Evaluated According to the Ocular Trauma Score. Journal Français d’Ophtalmologie, 38, 735-742. https://doi.org/10.1016/j.jfo.2015.03.009
[9]
Meda, N., Ouédraogo, A., Daboué, A., Ouédraogo, M., Ramdé, B., Somé, D., et al. (2001) Etiologies of oculo-palpebral trauma in Burkina Faso. Journal Français d’Ophtalmologie, 5, 463-466.
[10]
Tchabi, S., et al. (2010) Ocular Contusions at the National Hospital Center of Cotonou Benin about 654 Cases. Journal Français d’Ophtalmologie, 33, 450-454. https://doi.org/10.1016/j.jfo.2010.06.009
[11]
Burm, J.S., Chung, C.H. and Oh, S.J. (1999) Pure Orbital Blowout Fracture: New Concepts and Importance of Medial Orbital Blowout Fracture. Plastic and Reconstructive Surgery, 103, 1839-1849. https://doi.org/10.1097/00006534-199906000-00005
[12]
El Fekih, S., Elhif, S., Landoulsi, H., H’Maied, W., Sakka, S., Habboubi, A. and Chaabani, L. (2007) Orbital Floor Fracture and Orbital Traumatism. Journal Français d’Ophtalmologie, 30, 2S325. https://doi.org/10.1016/S0181-5512(07)80427-X
[13]
Sakka, S., El Fekih, S., ElHif, S., Chaabani, L., H’maied, H., Landoulsi, W.H., Haboubi, A. and Bachtobji, A. (2007) Assessment of traumatic disorders in orbital fractures. Journal Français d’Ophtalmologie, 30, 2S325. https://doi.org/10.1016/S0181-5512(07)80428-1
[14]
Charteris, D.G., Chan, C.H., Whitehouse, W.R. and Noble, J.L. (1993) Orbital Volume Measurement in the Management of Pure Blowout Fractures of the Orbital Floor. British Journal of Ophthalmology, 77, 100-102. https://doi.org/10.1136/bjo.77.2.100