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[The role of orthoptic assessment in outcome prognosis in patients undergoing reconstruction surgery for orbital blow-out fracture].

AbstractAIM:
The aim of this study is to analyze the results of orthoptic examination in patients with orbital blow-out fractures, who underwent reconstruction surgery and to determine which preoperative factors influence the outcome prognosis.
MATERIAL AND METHODS:
113 patients after orbital injury were examined. 78 subjects after reconstruction surgery for orbital floor or floor and medial wall fracture, with or without orbital rim involvement, were included in further analysis. All subjects underwent the orthoptic assessment at baseline and at 3 months after the surgery.
RESULTS:
Ordinal regression model was utilized in order to determine which orthoptic parameters significantly affect the surgical outcome of a reconstructive procedure. We have found that the following factors were associated with less favourable treatment outcomes: the large field of binocular single vision, the large angle of deviation in upgaze and downgaze, the positive forced duction test and the concomitant inferior rectus paresis.
CONCLUSIONS:
The thorough orthoptic assessment and identifying the potential oculomotor dysfunction prior to reconstructive surgery enables proper outcome prognosis in patients with orbital blow-out fractures.
AuthorsPiotr Loba, Katarzyna Sokalska, Piotr Arkuszewski, Anna Broniarczyk-Loha
JournalKlinika oczna (Klin Oczna) Vol. 116 Issue 3 Pg. 168-73 ( 2014) ISSN: 0023-2157 [Print] Poland
Vernacular TitleRola badań ortoptycznych w określaniu rokowania u pacjentów poddanych zabiegowi rekonstrukcji złamania rozpręzającego oczodołu.
PMID25799779 (Publication Type: Journal Article)
Topics
  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Natural Orifice Endoscopic Surgery (methods)
  • Orbital Fractures (diagnostic imaging, surgery)
  • Preoperative Care (methods)
  • Prognosis
  • Plastic Surgery Procedures (methods)
  • Risk Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vision Tests
  • Visual Acuity

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