Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment
Author:
Corresponding Author:

Jan Stembirek. Clinic of Oral and Maxillofacial Surgery, University Hospital Ostrava, 17. Listopadu 1790/5, Ostrava, 708 52, Czech Republic. stembirek@iach.cz

Affiliation:

Clc Number:

Fund Project:

Supported by the Ministry of Health, Czech Republic Conceptual Development of Research Organization (FNOs/2017).

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    Abstract:

    AIM: To assess the role of orthoptics in referring patients with orbital floor blowout fracture (OFBF) for conservative or surgical treatment and based on the results, to propose a scoring system for such decision making. METHODS: A retrospective analysis of 69 patients with OFBF was performed (35 treated conservatively, 34 surgically). The role of orthoptics in referring to surgery or conservative treatment was retrospectively evaluated, the factors with the highest significance for decision making were identified, and a scoring system proposed using Logistic regression. RESULTS: According to defined criteria, the treatment was unsuccessful in 2 (6%) surgically treated and only in one (3%) conservatively treated patient. The proposed scoring system includes the defect size and several values resulting from the orthoptic examination, the elevation of the eyebulb measured on Lancaster screen being the most significant. CONCLUSION: The study demonstrates the benefits of orthoptic examination when making decisions on conservative or surgical treatment and for diagnosing ocular motility disorder (with or without binocular diplopia) in OFBF patients. The proposed scoring system could, following verification in a prospective study, become a valuable adjunctive tool.

    Reference
    Related
    Cited by
Get Citation

Juraj Timkovic, Jiri Stransky, Katerina Janurova, et al. Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment. Int J Ophthalmol, 2021,14(12):1928-1934

Copy
Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
Publication History
  • Received:November 27,2020
  • Revised:April 22,2021
  • Adopted:
  • Online: November 25,2021
  • Published: