A Clinical Feature of the Patients of Orbital Wall Fracture With Diplopia
Journal of the Korean Ophthalmological Society
;
: 969-975, 2009.
Article
in Korean
| WPRIM
| ID: wpr-119117
ABSTRACT
PURPOSE:
To analyze the clinical features of orbital wall fracture with diplopia between the surgical treatment group and the conservative treatment group.METHODS:
The study comprised of 109 eyes of 109 patients with orbital wall fracture and diplopia. The patients were divided into two groups the surgical treatment group (59 cases) and the conservative treatment group (50 cases). The groups were analyzed retrospectively according to age, gender, cause, CT, the period and severity of diplopia, and enophthalmos with time.RESULTS:
In the conservative treatment group, 38 cases (64.4%) had medial wall fracture, and the average fracture size was 26alpha of the inferior wall and 33% of the medial wall. In addition, at the first visit, the patients showed diplopia within 45.5 degrees, and diplopia disappeared completely within 17 days on average (57 cases, 96.6%). In the group that underwent the reconstruction of orbital wall fracture, 27 cases (54.0%) had inferior wall fracture, and the average fracture size was 41% of the inferior wall and 35% of the medial wall. Additionally, in the first visit, the patients showed diplopia within 20.3 degrees. The muscle incarceration occurred in 12 cases (24%). In the surgical treatment group, diplopia disappeared completely within 30 days on average (45 cases, 90.0%).CONCLUSION:
In the group of conservative treatment, they showed diplopia within 45.5 degrees at the first visit. Diplopia disappeared completely within 17 days on average (57 cases, 96.6%). In the group of surgical treatment, they showed diplopia within 20.3 degrees at the first visit. Diplopia disappeared completely within 30 days on average (45 cases, 90.0%).
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Enophthalmos
/
Retrospective Studies
/
Diplopia
/
Eye
/
Muscles
Type of study:
Observational study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2009
Type:
Article
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