Pediatric orbital wall fractures: Prognostic factors of diplopia and ocular motility limitation

PloS One
Yung Ju YooJeong-Min Hwang

Abstract

To investigate the factors affecting recovery of diplopia and limited ocular motility in pediatric patients who underwent surgery for orbital wall fracture. Retrospective observational case series. In this retrospective observational case series, 150 pediatric patients (1-18 years old) who were diagnosed with orbital medial wall or floor fracture and underwent corrective surgery between 2004 and 2016 at Seoul National University Bundang Hospital were included. The medical records of patients with orbital medial wall or floor fracture were reviewed, including sex, age, diplopia, ocular motility, preoperative computed tomographic finding, and surgical outcomes. Factors affecting recovery of diplopia and ocular motility limitation were analyzed. Of the 150 patients (134 boys; mean age, 14.4 years) who underwent corrective surgery for orbital wall fracture, preoperative binocular diplopia was found in 76 (50.7%) patients and limited ocular motility in 81 (54.0%). Presence of muscle incarceration or severe supraduction limitation delayed the recovery of diplopia. In case of ocular motility limitation, presence of muscle incarceration and retrobulbar hemorrhage were related with the delayed resolution. Multivariate analysis revealed ...Continue Reading

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Citations

Jun 5, 2019·Ophthalmic Plastic and Reconstructive Surgery·Karina RichaniMargaret E Phillips
Nov 5, 2020·Archives of Craniofacial Surgery·Seung Hyun KimSam Yong Lee

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