El Mansouri Y, Kadiri F H, Saidi A, Laouissi N, Zaghloul K, Idrissi Chekkoury A, Benchakroun Y, Amraoui A
Service d'Ophtalmologie, Hôpital 20 Août 1953, Casablanca, Maroc.
J Fr Ophtalmol. 2000 May;23(5):445-8.
Fractures of the orbit floor have very disabling oculomotor after effects. The objective of this study was to report that close collaboration between the maxillo-facial specialist and ophthalmologist is necessary to avoid oculomotor after effects.
Our study included 10 cases of the fracture of the orbit floor. These cases were recorded between 1992 and 1996.
This pathology affected young subjects aged between 20 and 40 years in 70 % of the cases. 80 % of the subjects were males. 90 % of the patients presented a vertical diplopia as a result of a transitory oculomotor deficit. 20 % of the subjects presented a permanent oculomotor deficit at the stage of after effects. All these deficits were of a mechanical origin and, contrary to other authors, we found no deficit with nervous sensory origin.
Therapeutic success is based on early diagnosis and treatment that requires close collaboration between the maxillo-facial and ophthalmology teams.
眶底骨折会产生严重的动眼神经后遗症。本研究的目的是报告颌面外科专家与眼科医生密切合作对于避免动眼神经后遗症的必要性。
我们的研究纳入了10例眶底骨折病例。这些病例记录于1992年至1996年期间。
70%的病例中，该病症影响的是年龄在20至40岁之间的年轻患者。80%的患者为男性。90%的患者因短暂性动眼神经功能障碍出现垂直复视。20%的患者在后遗症阶段出现永久性动眼神经功能障碍。所有这些功能障碍均源于机械性原因，与其他作者的研究结果不同，我们未发现源于神经感觉方面的功能障碍。
治疗成功基于早期诊断和治疗，这需要颌面外科团队与眼科团队密切合作。
