Functional Outcomes of Late Posttraumatic Enophthalmos Correction

McRae, Mark; Augustine, Haley; Budning, Andrew S.; Antonyshyn, Oleh

doi:10.1097/prs.0000000000004600

Cited by 9 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, corrective surgery is necessary because enophthalmos often causes malformations, and if untreated, it may cause functional problems such as binocular diplopia. The correction of enophthalmos aims to restore the volume of the orbit and the position of its contents to improve both function and shape [1]. Various treatment methods for ocular depression have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Enophthalmos is defined as posterior displacement of the eyeball due to volume changes in the bony orbit. It occurs when the balance between the bony orbit and the orbital contents (i.e., the globe, orbital fat, and muscular and ligamentous support) is disrupted [1]. Two to three millimeters of enophthalmos is clinically detectable, and more than 5 mm is disfiguring [2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Correction of post-traumatic enophthalmos with anatomical absorbable implant and iliac bone graft

Choi

Shim

2019

Arch Craniofac Surg

View full text Add to dashboard Cite

Background: Trauma is one of the most common causes of enophthalmos, and post-traumatic enophthalmos primarily results from an increased volume of the bony orbit. We achieved good long-term results by simultaneously using an anatomical absorbable implant and iliac bone graft to correct post-traumatic enophthalmos. Methods: From January 2012 to December 2016, we performed operations on seven patients with post-traumatic enophthalmos. In all seven cases, reduction surgery for the initial trauma was performed at our hospital. Hertel exophthalmometry, clinical photography, three-dimensional computed tomography (3D-CT), and orbital volume measurements using software to calculate the specific volume captured on 3D-CT (ITK-SNAP, Insight Toolkit-SNAP) were performed preoperatively and postoperatively. Results: Patients were evaluated based on exophthalmometry, clinical photographs, 3D-CT, and orbital volume measured by the ITK-SNAP program at 5 days and 1 year postoperatively, and all factors improved significantly compared with the preoperative baseline. Complications such as hematoma or extraocular muscle limitation were absent, and the corrected orbital volume was well maintained at the 1-year follow-up visit. Conclusion: We present a method to correct enophthalmos by reconstructing the orbital wall using an anatomical absorbable implant and a simultaneous autologous iliac bone graft. All cases showed satisfactory results for enophthalmos correction. We suggest this method as a good option for the correction of post-traumatic enophthalmos.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correction of post-traumatic enophthalmos with anatomical absorbable implant and iliac bone graft

Choi

Shim

2019

Arch Craniofac Surg

View full text Add to dashboard Cite

show abstract

“…In terms of functional outcomes following late posttraumatic enophthalmos correction, the largest case series to date was published in 2018. 93 This study assessed 41 patients and found that a substantial functional improvement (defined as a decrease of greater or equal to one grade of diplopia) was achieved in 65.9 percent of patients after all surgical interventions. Those with residual diplopia after enophthalmos surgery were managed with secondary strabismus surgery or prism glasses.…”

Section: Surgerymentioning

confidence: 97%

“…Complications that can occur following enophthalmos repair are similar to those following primary repair. 61,93,95,96 Risks include lid malposition such as entropion, ectropion, and vertical lid shortening, and asymmetry in palpebral fissure width or inclination. Visual disturbances, ranging from corneal abrasion to retrobulbar hemorrhage and possible blindness, can occur.…”

Section: Complicationsmentioning

confidence: 99%

Current Management of Late Posttraumatic Enophthalmos

DeSerres

Budning

Antonyshyn

2022

Plastic &Amp; Reconstructive Surgery

Self Cite

View full text Add to dashboard Cite

Learning Objectives: After studying this article, the participant should be able to: 1. Describe the orbital anatomy and completely understand the important components relevant to surgical correction of enophthalmos, including oculo-orbito relations. 2. Understand the pathophysiology and predictive factors for posttraumatic enophthalmos and identify the challenges associated with correction of enophthalmos in the late setting. 3. Develop a surgical plan for late enophthalmos repair and understand the value and utility of osteotomies, intraoperative navigation, and patient-specific implants. 4. Discuss the expected outcomes, possible complications, and adjunctive surgery as related to late enophthalmos repair. Summary: This article addresses the current management of late posttraumatic enophthalmos. In this article, the authors describe surgically relevant orbital anatomy and oculo-orbital relations, the pathophysiology of enophthalmos, clinical and radiologic findings, decision-making in management, and surgical treatment. The authors attempt to cover some of the main challenges and recent advances in the management of late posttraumatic enophthalmos, including intraoperative navigation and patient-specific implants.

show abstract

“…Extraocular muscle entrapment and ischemic change, trapping, or prolapse of the orbital soft tissue may result in ocular motility limitations, diplopia, and visual dysfunctions. In addition, esthetically debilitating conditions, such as enophthalmos or globe displacement, may appear with large bony defects [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Early Intervention in Orbital Floor Fractures: Postoperative Ocular Motility and Diplopia Outcomes

Hsu

Lee

Chen

et al. 2022

JPM

View full text Add to dashboard Cite

Purpose: Orbital floor fractures commonly occur during orbital trauma. Currently, the indications for orbital fracture repair and the appropriate duration between trauma and surgical intervention remain controversial. Methods: Eyes diagnosed with orbital floor fractures that underwent reconstruction surgery were retrospectively reviewed. Demographic data were analyzed. Patients were classified based on the timing of the surgical intervention after injury. Ocular limitation and diplopia were evaluated preoperatively and postoperatively at one week, one month, and three months. Results: Two hundred seventy eyes of 270 patients (174 males and 96 females, mean age: 40.9 ± 16.3 years) were identified. The mean duration from injury to surgical intervention was 18.0 ± 21.2 days (range: 0–117 days). In the subgroup analysis, compared to delayed treatment, the early repair of floor fractures, i.e., within 7 days, was associated with significant motility and diplopia resolution at one week (p = 0.001, p < 0.001), one month (p < 0.001, p < 0.001), and three months (p < 0.001, p < 0.001). Sex and the duration from injury to repair were significantly associated with postoperative ocular motility (p = 0.001; p = 0.024) and diplopia (p < 0.001; p = 0.008) at three months. Multivariate analysis revealed that preoperative limitation and diplopia were correlated with postoperative limitation (p = 0.007) and diplopia (p = 0.001), respectively. Conclusions: The duration between orbital floor fracture and surgical treatment was associated with postoperative limitation and diplopia. Our results suggest that earlier intervention in symptomatic patients with orbital trauma may improve postoperative visual function.

show abstract

Functional Outcomes of Late Posttraumatic Enophthalmos Correction

Cited by 9 publications

References 8 publications

Correction of post-traumatic enophthalmos with anatomical absorbable implant and iliac bone graft

Correction of post-traumatic enophthalmos with anatomical absorbable implant and iliac bone graft

Current Management of Late Posttraumatic Enophthalmos

Early Intervention in Orbital Floor Fractures: Postoperative Ocular Motility and Diplopia Outcomes

Contact Info

Product

Resources

About