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Pidro A, Jovanovic N, Kadribašic E, et al. Delayed Management of an Orbital Floor Blow-out Fracture. Beyoglu Eye J. 2021;6(3):249-253doi: 10.14744/bej.2021.94834.
Pidro, A., Jovanovic, N., Kadribašic, E., Barucija, N., Leto, N., & Kahana, A. (2021). Delayed Management of an Orbital Floor Blow-out Fracture. Beyoglu eye journal, 6(3), 249-253. https://doi.org/10.14744/bej.2021.94834
Pidro, Aida, et al. "Delayed Management of an Orbital Floor Blow-out Fracture." Beyoglu eye journal vol. 6,3 (2021): 249-253. doi: https://doi.org/10.14744/bej.2021.94834
Pidro A, Jovanovic N, Kadribašic E, Barucija N, Leto N, Kahana A. Delayed Management of an Orbital Floor Blow-out Fracture. Beyoglu Eye J. 2021 Sep 27;6(3):249-253. doi: 10.14744/bej.2021.94834. eCollection 2021. PMID: 35005524; PMCID: PMC8697045.
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Beyoglu Eye J. 2021 Sep 27;6(3):249-253. doi: 10.14744/bej.2021.94834. eCollection 2021.

Delayed Management of an Orbital Floor Blow-out Fracture.

Beyoglu eye journal

Aida Pidro, Nina Jovanovic, Emina Kadribašic, Nedim Barucija, Nedim Leto, Alon Kahana

Affiliations

  1. Department of Ophthalmology At Opca Bolnica "Prim. Dr. Abdulah Nakas", Sarajevo, Bosnia and Herzegovina.
  2. Department of Ophthalmology At Canton Hospital Zenica, Bosnia and Herzegovina.
  3. Department of Maxillofacial Surgery, Canton Hospital Zenica, Bosnia and Herzegovina.
  4. Department of Ophthalmology, Oakland University William Beaumont School of Medicine, Michigan, USA.

PMID: 35005524 PMCID: PMC8697045 DOI: 10.14744/bej.2021.94834

Abstract

A bony fracture in the orbital floor, the most common site, can lead to tissue herniation, enophthalmos, hypoglobus, or strabismic diplopia. Several surgical approaches for repair have been described in the literature. This report is a description of an illustrative case and a brief summary of the literature related to the transconjunctival approach to orbital floor fracture repair as performed by ophthalmologists. A 19-year-old female patient had fallen from a 5-meter-high fence and sustained panfacial fractures, including both orbits and the surrounding sinuses. An acute repair was performed by a maxillofacial team to stabilize the facial structure . Following neurosurgical stabilization, she was referred to ophthalmology with pronounced hypoglobus and enophthalmos, diplopia, relative afferent pupillary defect, and a slightly pale right optic nerve head. Surgery was performed under general anesthesia using the transconjunctival approach and an alloplastic implant. This approach was effective, providing excellent exposure while reducing the risks of lower eyelid retraction and surgical scars associated with the transcutaneous approach.

Copyright © 2021 by Beyoglu Eye Training and Research Hospital.

Keywords: Enophthalmos; hypoglobus; orbital fracture; transconjunctival approach

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