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Related Experiment Videos

Blindness after facial trauma

N Zachariades1, D Papavassiliou, P Christopoulos

  • 1Oral and Maxillofacial Clinic, K.A.T. General District Hospital, Kiffissia, Greece.

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|January 1, 1996
PubMed
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Facial fractures can lead to blindness, with higher risks in severe Le Fort III fractures. Prompt ophthalmologic consultation is crucial for patients with facial trauma, especially from motor vehicle accidents or gunshot injuries.

Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Facial Reconstruction

Background:

  • Blindness following facial fractures is a known complication.
  • Reported incidence varies significantly between institutions, ranging from 0.67% to 3%.

Purpose of the Study:

  • To retrospectively review facial fracture cases to determine the actual incidence of blindness.
  • To identify specific fracture types and injury mechanisms associated with vision loss.

Main Methods:

  • Retrospective chart review of 5936 patients with facial fractures over a 12.5-year period.
  • Analysis of patient data to identify cases of vision loss and associated fracture patterns and causes.

Main Results:

  • Vision loss occurred in 19 eyes across 18 patients.

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  • Le Fort III fractures had the highest incidence of blindness (2.2%), followed by Le Fort II (0.64%) and zygomatic fractures (0.45%).
  • Motor vehicle accidents and gunshot injuries were the most common causes of blindness.

    • Conclusions:

    • The incidence of blindness from facial fractures in this cohort was 0.32% (18/5936).
    • Severe fractures, particularly Le Fort III, pose a significant risk of vision loss.
    • Immediate ophthalmologic consultation is essential for managing facial trauma to prevent or mitigate blindness.