Surgical Timing of the Orbital “Blowout” Fracture

Damgaard, Olaf E.; Larsen, Christian Grónhøj; Felding, Ulrik Ascanius; Toft, Peter Bjerre

doi:10.1177/0194599816647943

Cited by 36 publications

(16 citation statements)

References 12 publications

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“…[ 2 3 ] Patients with orbital floor fracture having persistent nausea and vomiting, eye muscle dysfunction, diplopia, enophthalmos, or orbital dystopia generally require surgical management. [ 4 ] Our case demonstrates a pure orbital floor fracture following direct impact of water during recreational cliff diving, which reinforces the concept of conservative management in pure blowout fracture without complications. Hence, recreational cliff diving should not be carried out casually as it requires a great deal of practice, skill set, and safety measures.…”

supporting

confidence: 77%

Orbital floor fracture due to recreational cliff diving - A rare presentation

Puthalath

Saraswat

Singh

et al. 2020

Indian J Ophthalmol

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supporting

confidence: 77%

Orbital floor fracture due to recreational cliff diving - A rare presentation

Puthalath

Saraswat

Singh

et al. 2020

Indian J Ophthalmol

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“…As a result, the intraorbital pressure drastically increases, causing weak areas in the orbital wall to fracture [4] ; fractures of the inferior orbital wall and the medial orbital wall are more common. [5] The main clinical manifestations of orbital fracture are enophthalmos, strabismus, diplopia, and eyeball movement disorder. [6] …”

Section: Introductionmentioning

confidence: 99%

A retrospective study of eyeball rupture in patients with or without orbital fracture

Chen¹,

Yao²,

Liu³

et al. 2017

Medicine

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To summarize the clinical features of eyeball rupture with or without orbital fracture and explore the differences between them.In all, 197 patients were observed, and the following data were recorded: sex, age, time of injury, place of injury, cause of trauma, zone of eye injury, intraocular content prolapse, surgical methods and the therapeutic process, visual acuity after injury, and the final best corrected visual acuity. The results were analyzed for statistically significant differences.There was no significant difference (P > .05) in the age, sex, or cause of injury. Patients with eyeball rupture with fracture had poorer vision than did those in the simple eyeball rupture group; eyeball rupture with fracture also had a higher probability of enucleation.In this study, the clinical results show that prognosis of eyeball rupture with orbital fracture is worse than that of eyeball rupture without orbital fracture.

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“…who recommend a surgical intervention within the first 2 weeks. Summarizing, a meta-analysis of Damgaard et al 23 . presented a better outcome for diplopia with surgery within the first 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Summarizing, a meta-analysis of Damgaard et al. 23 presented a better outcome for diplopia with surgery within the first 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction

Härtwig

Nissen

Voß

et al. 2019

Chinese Journal of Traumatology

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Purpose Primary reconstruction via transconjunctival approach is a standardized treatment option for orbital floor fractures. The aim of this study was to compare the findings of specific ophthalmologic assessment with the patient's complaints after fracture reduction. Methods A retrospective medical chart analysis was performed on patients who had undergone transconjunctival orbital floor fracture reduction for fracture therapy with resorbable foil (ethisorb sheet or polydioxanone foil). A follow-up assessment including ophthalmological evaluation regarding visual acuity (eye chart projector), binocular visual field screening (Bagolini striated glasses test) and diplopia (cover test, Hess screen test) was conducted. Additionally, a questionnaire was performed to assess patients' satisfaction. Results A total of 53 patients with a mean follow-up of 23 months (ranging from 11 to 72) after surgical therapy were included. Diplopia was present preoperatively in 23 (43.4%) and reduced in follow-up examination ( n = 12, 22.6%). Limitations in ocular motility reduced from 37.7% to 7.5%. The questionnaire about the patient's satisfaction revealed excellent outcomes in relation to the functional and esthetical parameters. Conclusion Transconjunctival approach is a safe approach for orbital fracture therapy. Postoperative diplopia is nearly never perceptible for the individual and differs to pathologic findings in the ophthalmic assessment.

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Surgical Timing of the Orbital “Blowout” Fracture

Abstract: We found a significantly increased risk of persistent diplopia in patients who were operated >14 days after the trauma.

Cited by 36 publications

References 12 publications

Orbital floor fracture due to recreational cliff diving - A rare presentation

Orbital floor fracture due to recreational cliff diving - A rare presentation

A retrospective study of eyeball rupture in patients with or without orbital fracture

Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction

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