Orbital Floor Fractures: Retrospective Study of 29 Cases

Author's Information:

Z. Filali

Department of Ophthalmology, Hassan II Military Hospital, Laayoune, Morocco.

H. Boui

Department of Ophthalmology, Hassan II Military Hospital, Laayoune, Morocco.

Vol 05 No 11 (2025):Volume 05 Issue 11 November 2025

Page No.: 298-301

Abstract:

Objective: To evaluate the epidemiological, clinical, and therapeutic aspects of orbital floor fractures and to assess the outcomes of surgical management. 

Methods: Retrospective study of 29 patients hospitalized for orbital floor fracture between January 2018 and September 2024. 

Results: The mean age was 37 years (18–60), with a male predominance (sex ratio 3:1). Road traffic accidents were the leading cause (69%). Clinical findings included diplopia (45%), infraorbital hypoesthesia (72%), and enophthalmos (17%). Surgery was performed in 25 cases, mainly through a subtarsal approach with absorbable or non-resorbable implants. Postoperative outcomes were favorable, with improvement in diplopia and minimal residual enophthalmos. 

Conclusion: Early diagnosis and appropriate surgical repair are essential to restore ocular motility and facial symmetry, thus minimizing functional and esthetic sequelae.

KeyWords:

Orbital floor fracture, diplopia, enophthalmos, orbital reconstruction, ophthalmic trauma.

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