Residual Diplopia and Enophthalmos after Reconstruction of Orbital Wall Fractures.
- Author:
Jung Hyuk HWANG
1
;
Mi Seon KWAK
Author Information
1. Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea. MSKWAK66@orgio.net
- Publication Type:Original Article
- Keywords:
Blowout fractures;
Diplopia;
Enophthalmos
- MeSH:
Diplopia*;
Enophthalmos*;
Humans;
Incidence;
Orbit*;
Risk Factors
- From:Journal of the Korean Ophthalmological Society
2003;44(9):1959-1965
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We evaluated the risk factors and related results of residual diplopia and enophthalmos in patients who had orbital wall fracture repair. METHODS: 50 patients with orbital wall fracture who were followed up for at least 6 months postoperatively were included in this study. We analyzed effects of the patient age, timing of surgery, size and location of fracture on development of postoperative diplopia and enophthalmos. RESULTS: 32 patients had diplopia and 16 patients had enophthalmos greater than 2 mm. Among 32 patients with preoperative diplopia, 9 patients experienced postoperative diplopia. Among 16 patients with preoperative enophthalmos, 5 patients experienced postoperative enophthalmos. Delayed timing of surgery was a significant factor for development of postoperative diplopia and enophthalmos. Age of the patients and fracture size were not significant factors for development of postoperative diplopia and enophthalmos. CONCLUSIONS: Early surgical repair of orbital wall fractures decreases the incidence of residual diplopia and enophthalmos. Preoperative assessment of multiple variables could help to achieve cosmetical and functional better results.
