Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment
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 t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2021-12-01
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| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://ies.ijo.cn/en_publish/2021/12/20211218.pdf |
| _version_ | 1818684523790991360 |
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| author | Juraj Timkovic Jiri Stransky Katerina Janurova Petr Handlos Jan Stembirek |
| author_facet | Juraj Timkovic Jiri Stransky Katerina Janurova Petr Handlos Jan Stembirek |
| author_sort | Juraj Timkovic |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-17T10:51:59Z |
| format | Article |
| id | doaj.art-14ae34897ad94e7ba9f1d0123a4fd79f |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-17T10:51:59Z |
| publishDate | 2021-12-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-14ae34897ad94e7ba9f1d0123a4fd79f2022-12-21T21:51:56ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982021-12-0114121928193410.18240/ijo.2021.12.1820211218Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatmentJuraj Timkovic0Jiri Stransky1Katerina Janurova2Petr Handlos3Jan Stembirek4Jan Stembirek. Clinic of Oral and Maxillofacial Surgery, University Hospital Ostrava, 17. Listopadu 1790/5, Ostrava, 708 52, Czech Republic. stembirek@iach.czClinic of Oral and Maxillofacial Surgery, University Hospital Ostrava, 17. Listopadu 1790/5, Ostrava 708 52, Czech RepublicIT4Innovations, VSB-Technical University of Ostrava, Studentská 6231, Ostrava 708 33, Czech RepublicDepartment of Forensic Medicine, University Hospital Ostrava, 17. Listopadu 1790/5, Ostrava 708 52, Czech RepublicClinic of Oral and Maxillofacial Surgery, University Hospital Ostrava, 17. Listopadu 1790/5, Ostrava 708 52, Czech Republic; Laboratory of Molecular Morphogenesis, Institute of Animal Physiology and Genetics CAS, Veveří 97, Brno 602 00, Czech RepublicAIM: 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.http://ies.ijo.cn/en_publish/2021/12/20211218.pdforbital floor blowout fracturescoring systemorthopticsocular motilitydiplopiaconservative treatmentsurgical treatment |
| spellingShingle | Juraj Timkovic Jiri Stransky Katerina Janurova Petr Handlos Jan Stembirek Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment International Journal of Ophthalmology orbital floor blowout fracture scoring system orthoptics ocular motility diplopia conservative treatment surgical treatment |
| title | Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment |
| title_full | Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment |
| title_fullStr | Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment |
| title_full_unstemmed | Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment |
| title_short | Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment |
| title_sort | role of orthoptics and scoring system for orbital floor blowout fracture surgical or conservative treatment |
| topic | orbital floor blowout fracture scoring system orthoptics ocular motility diplopia conservative treatment surgical treatment |
| url | http://ies.ijo.cn/en_publish/2021/12/20211218.pdf |
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