J Korean Ophthalmol Soc.  2001 Aug;42(8):1202-1209.

Relationship between Preoperative Clinical Features and Postoperative Recovery of Ocular Motility Restriction in Blow-out Fractures

• Lee SJ
• Park KS

Abstract

PURPOSE: Diplopia and ocular motility restriction after blow-out fracture repair may often be permanent. We attempted to analyze various factors associated with preoperative and postoperative ocular motility restriction after blow-out fracture.
METHODS
We assessed retrospectively the recovery of ocular movement in 60 eyes of 60 patients with blow-out fractures, which were repaired by orbital reconstruction from April 1997 to October 1999. We analyzed the relationship between patient age, fracture size, severity of ocular motility restriction before and after surgery, and CT evidence of muscle entrapment.
RESULTS
Fracture size was smaller in the patients aged 18 years or younger than those 19 years or older, and ocular motility restriction before surgery was greater in the patients with small-sized fractures. Postoperatively, ocular motility restriction was remained more frequently in the patients with severe ocular motility restriction before surgery.
CONCLUSIONS
In pediatric patients who have severe motility restriction, CT evidence of small-sized fracture and some tissue entrapment, immediate surgical repair would be helpful for recovery of extraocular movement.

Keyword

Blow-out fracture; Ocular motility restriction; Pediatric patients

MeSH Terms

Diplopia
Humans
Orbit
Orbital Fractures*
Retrospective Studies