J Korean Ophthalmol Soc.  2009 Jul;50(7):969-975. 10.3341/jkos.2009.50.7.969.

A Clinical Feature of the Patients of Orbital Wall Fracture With Diplopia

• Kang HJ
• Ha MS

• KMID: 2212478
• DOI: http://doi.org/10.3341/jkos.2009.50.7.969

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%).

Keyword

Conservative treatment; Diplopia; Enophthalmos; Orbital wall fracture; Reconstruction

MeSH Terms

Diplopia
Enophthalmos
Eye
Humans
Muscles
Orbit
Retrospective Studies

Figure

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  Figure 1. Cause of diplopia on the computed tomography of orbital wall fracture. (A) Soft tissue swelling, (B) Extraocular muscle swelling, (C) Soft tissue incarceration, (D) Extraocular muscle incarceration.

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  Figure 2. Number of patients with diplopia

Reference

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