J Korean Ophthalmol Soc.  2006 Jan;47(1):7-12.

A Clinical Study of Pediatric Orbital Wall Fracture

• Kwon YH
• Park DW
• Chung JY
• Ahn HB

Abstract

PURPOSE: We sought to evaluate the clinical aspects associated with a preoperative and postoperative state in cases of blow-out fracture.
METHODS
We retrospectively assessed the cause, location, type, and ocular motility restriction in 25 eyes of 25 pediatric patients with blow-out fracture, which were repaired by orbital reconstruction between January 2001 and June 2004.
RESULTS
The mean age of patients was 14.96 years, the most common cause of fracture was assault (13 cases, 52%); there were 15 case (60%) of inferior wall fracture, 14 cases (45%) of comminuted type fracture, and 11 cases (35.4%) of trapdoor type fracture. The mean time to intervention was 14 days (range, 3 to 56 days). Ocular motility restriction improved most in the early postoperative period, and then decreased gradually. At last follow-up, the majority of patients had improved. Their diplopia improved almost completely, except in one patient who had late orbital reconstruction.
CONCLUSIONS
Most cases of blow-out fracture were resolved with orbital reconstruction. Even when performed late, orbital reconstruction is helpful in improving the symptoms associated with blow-out fracture.

Keyword

Diplopia; Ocular motion restriction; Pediatric orbital wall fracture; Reconstruction

MeSH Terms

Diplopia
Follow-Up Studies
Humans
Orbit*
Orbital Fractures
Postoperative Period
Retrospective Studies