Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment.
conservative treatment
diplopia
ocular motility
orbital floor blowout fracture
orthoptics
scoring system
surgical treatment
Journal
International journal of ophthalmology
ISSN: 2222-3959
Titre abrégé: Int J Ophthalmol
Pays: China
ID NLM: 101553860
Informations de publication
Date de publication:
2021
2021
Historique:
received:
27
11
2020
accepted:
22
04
2021
entrez:
20
12
2021
pubmed:
21
12
2021
medline:
21
12
2021
Statut:
epublish
Résumé
To assess the role of orthoptics in referring patients with orbital floor blowout fracture (OFBF) for conservative or surgical treatment and based on the results, to propose a scoring system for such decision making. A retrospective analysis of 69 patients with OFBF was performed (35 treated conservatively, 34 surgically). The role of orthoptics in referring to surgery or conservative treatment was retrospectively evaluated, the factors with the highest significance for decision making were identified, and a scoring system proposed using Logistic regression. According to defined criteria, the treatment was unsuccessful in 2 (6%) surgically treated and only in one (3%) conservatively treated patient. The proposed scoring system includes the defect size and several values resulting from the orthoptic examination, the elevation of the eyebulb measured on Lancaster screen being the most significant. The study demonstrates the benefits of orthoptic examination when making decisions on conservative or surgical treatment and for diagnosing ocular motility disorder (with or without binocular diplopia) in OFBF patients. The proposed scoring system could, following verification in a prospective study, become a valuable adjunctive tool.
Identifiants
pubmed: 34926210
doi: 10.18240/ijo.2021.12.18
pii: ijo-14-12-1928
pmc: PMC8640758
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1928-1934Informations de copyright
International Journal of Ophthalmology Press.
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