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Updated: Feb 14, 2026

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
Published on: August 14, 2018
Facial Fracture-Associated Blindness
Rasmané Béogo1, Toua Antoine Coulibaly1, Mariam Traoré Dolo2
1Department of Stomatology and Maxillofacial Surgery.
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.
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