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Related Experiment Videos

Blindness associated with midfacial fractures

A Ashar1, A Kovacs, S Khan

  • 1Department of Oral and Maxillofacial Surgery, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|October 10, 1998
PubMed
Summary

Midfacial fractures can cause blindness, with 20% of patients in this study experiencing vision loss. Road traffic accidents were the primary cause, highlighting the need for prompt ophthalmic evaluation.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Facial Reconstruction

Background:

  • Midfacial fractures are complex injuries with potential for significant morbidity.
  • Ocular complications, including blindness, can occur following facial trauma.

Purpose of the Study:

  • To determine the frequency of blindness associated with midfacial fractures.
  • To correlate the incidence of blindness with specific midfacial fracture patterns.
  • To identify the causes of vision loss in patients with midfacial fractures.

Main Methods:

  • Retrospective analysis of 49 patients with midfacial fractures (January 1995 - March 1997).
  • Review of medical and radiological records for patients with posttraumatic blindness.
  • Assessment of injury cause, fracture type, ocular trauma, and blindness etiology.

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Main Results:

  • Ten out of 49 patients (20.4%) experienced blindness in one eye.
  • Blindness incidence correlated with injury severity.
  • Common causes included traumatic optic nerve injury (7 cases) and ruptured globe (3 cases).
  • Road traffic accidents were the most frequent cause of injury.

Conclusions:

  • High frequency of blindness linked to midfacial fractures, particularly from road traffic accidents.
  • Absence of mandatory seat belt laws may contribute to severe injuries.
  • Emphasizes the critical need for early ophthalmic diagnosis and specialist involvement in managing these injuries.