Prognosis and Clinical Features of Orbital Wall Fracture in Preschool Children.
10.3341/jkos.2011.52.12.1490
- Author:
Jung Hyun PARK
1
;
Dae Hyun KIM
Author Information
1. Department of Ophthalmology, Chosun University School of Medicine, Gwangju, Korea. eyelovehyun@hanmail.net
- Publication Type:Original Article
- Keywords:
Blow-out fracture;
Diplopia;
Ocular motility restriction;
Preschool child;
Trapdoor-type fracture
- MeSH:
Accidents, Traffic;
Child, Preschool;
Diplopia;
Humans;
Nausea;
Orbit;
Orbital Fractures;
Prognosis;
Retrospective Studies;
Vomiting
- From:Journal of the Korean Ophthalmological Society
2011;52(12):1490-1495
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical aspects associated with the preoperative and postoperative state of blow-out fractures in preschool children. METHODS: The authors of the present study retrospectively reviewed 11 cases of blow-out fracture repaired by orbital reconstruction. RESULTS: The most common cause of fracture was a traffic accident (45%); there were 7 cases (63%) of inferior wall fracture and 7 cases (63%) of trapdoor-type fracture. All patients with trapdoor-type fractures had nausea and vomiting. After the operation, the majority of patients (88%) had mild ocular motility restriction and diplopia. CONCLUSIONS: In preschool children, systemic symptoms such as nausea and vomiting presented frequently. In addition, complications such as restriction in ocular movement and diplopia often developed postoperatively.