面部骨折相关性失明
Facial Fracture-Associated Blindness.
作者信息
Béogo Rasmané, Coulibaly Toua Antoine, Dolo Mariam Traoré, Traoré Ibraima, Ouattara Balla, Diallo Jean Wenceslas
机构信息
Department of Stomatology and Maxillofacial Surgery.
Department of Ophthalmology, CHU Souro Sanou, Bobo-Dioulasso, Burkina Faso.
出版信息
J Craniofac Surg. 2018 May;29(3):751-753. doi: 10.1097/SCS.0000000000004378.
INTRODUCTION
Yet uncommon, blindness is a potential associated injury of facial fractures.
METHODS
Epidemiology, mechanisms, fracture types, and outcome of facial fractures-associated blindness in a 10-year period are retrospectively reviewed.
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.
DISCUSSION
The findings of this study commend comprehensive ophthalmologic evaluation in any patient with an orbit wall fracture.
引言
失明是面部骨折的一种潜在相关损伤，虽不常见。
方法
回顾性分析10年间面部骨折相关失明的流行病学、机制、骨折类型及预后。
结果
907例面部骨折患者中，10例出现失明，发生率为1.1%。其中男性9例，女性1例，年龄范围为6至59岁（平均31.2岁）。故意伤害患者失明风险显著最高（P = 0.02）。所有患者的骨折均累及至少1个眶壁。鼻额眶筛复合体骨折患者失明风险显著更高（P = 0.03）。13只眼出现视力丧失（7例为单眼，3例为双眼）。其主要机制为眼球破裂或穿孔，见于8只眼。仅1例患者尝试进行了旨在改善视力的治疗。所有患者视力均未恢复。
讨论
本研究结果建议对任何眶壁骨折患者进行全面的眼科评估。
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