The British journal of ophthalmology · 2025
Factors associated with diplopia before and after orbital blowout fracture reconstruction.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Oku Hiroaki, Watanabe Akihide, Rajak Saul N, Nakayama Tomomichi, Yoneda Akiko, Yoshii Kengo, Sotozono Chie
Аннотация
BACKGROUND/AIMS: To ascertain factors associated with persistent diplopia after orbital fracture reconstruction.
METHODS: In this retrospective study, we reviewed 798 cases with depressed fragment fracture at the Department of Kyoto Prefectural University of Medicine Hospital between January 2009 and November 2023. The restriction of extraocular movements and diplopia was assessed using the Hess area ratio (HAR). The factors for HAR% ≥85% before surgery and 6 months after surgery were assessed.
RESULTS: Of the 798 cases in this study, 437 cases (54.8%) had an HAR% of ≥85%, and 361 cases (45.2%) had an HAR% of <85% before surgery. Age ≤18 years old (p=0.017), orbital tissue herniation volume <median (p=0.001), absence of extra-ocular muscle deviation (p<0.001) and medial wall (vs medial wall and orbital floor with strut fracture; p<0.001) were found to be associated with HAR% ≥85% before surgery. Of the 332 cases treated with surgery, 272 cases (81.9%) were HAR% ≥85%, and 60 cases (18.1%) were HAR%<85% after surgery. Age ≤18 years old (p=0.011), male (p=0.014), absence of extra-ocular muscle deviation (p=0.002) and medial wall (vs medial wall and orbital floor with strut fracture; p=0.002) were found to be associated with HAR% ≥85% at 6 months post surgery.
CONCLUSION: Patients of younger age, male and those with absence of extraocular muscle deviation have better eye movements in the affected eye (increased HAR%) 6 months after surgery.
METHODS: In this retrospective study, we reviewed 798 cases with depressed fragment fracture at the Department of Kyoto Prefectural University of Medicine Hospital between January 2009 and November 2023. The restriction of extraocular movements and diplopia was assessed using the Hess area ratio (HAR). The factors for HAR% ≥85% before surgery and 6 months after surgery were assessed.
RESULTS: Of the 798 cases in this study, 437 cases (54.8%) had an HAR% of ≥85%, and 361 cases (45.2%) had an HAR% of <85% before surgery. Age ≤18 years old (p=0.017), orbital tissue herniation volume <median (p=0.001), absence of extra-ocular muscle deviation (p<0.001) and medial wall (vs medial wall and orbital floor with strut fracture; p<0.001) were found to be associated with HAR% ≥85% before surgery. Of the 332 cases treated with surgery, 272 cases (81.9%) were HAR% ≥85%, and 60 cases (18.1%) were HAR%<85% after surgery. Age ≤18 years old (p=0.011), male (p=0.014), absence of extra-ocular muscle deviation (p=0.002) and medial wall (vs medial wall and orbital floor with strut fracture; p=0.002) were found to be associated with HAR% ≥85% at 6 months post surgery.
CONCLUSION: Patients of younger age, male and those with absence of extraocular muscle deviation have better eye movements in the affected eye (increased HAR%) 6 months after surgery.
Предметные рубрики MeSH
HumansOrbital FracturesDiplopiaRetrospective StudiesMaleFemaleAdultAdolescentMiddle AgedYoung AdultChildAgedPlastic Surgery ProceduresOculomotor MusclesOphthalmologic Surgical ProceduresEye MovementsRisk FactorsFollow-Up StudiesPostoperative ComplicationsChild, PreschoolTomography, X-Ray ComputedAged, 80 and over