Role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment

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...

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Autores principales: Juraj Timkovic, Jiri Stransky, Katerina Janurova, Petr Handlos, Jan Stembirek
Formato: article
Lenguaje:EN
Publicado: Press of International Journal of Ophthalmology (IJO PRESS) 2021
Materias:
orbital floor blowout fracture
scoring system
orthoptics
ocular motility
diplopia
conservative treatment
surgical treatment
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/14ae34897ad94e7ba9f1d0123a4fd79f
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spelling oai:doaj.org-article:14ae34897ad94e7ba9f1d0123a4fd79f2021-11-26T04:02:12ZRole of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment2222-39592227-489810.18240/ijo.2021.12.18https://doaj.org/article/14ae34897ad94e7ba9f1d0123a4fd79f2021-12-01T00:00:00Zhttp://ies.ijo.cn/en_publish/2021/12/20211218.pdfhttps://doaj.org/toc/2222-3959https://doaj.org/toc/2227-4898AIM: 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.Juraj TimkovicJiri StranskyKaterina JanurovaPetr HandlosJan StembirekPress of International Journal of Ophthalmology (IJO PRESS)articleorbital floor blowout fracturescoring systemorthopticsocular motilitydiplopiaconservative treatmentsurgical treatmentOphthalmologyRE1-994ENInternational Journal of Ophthalmology, Vol 14, Iss 12, Pp 1928-1934 (2021)
institution DOAJ
collection DOAJ
language EN
topic orbital floor blowout fracture
scoring system
orthoptics
ocular motility
diplopia
conservative treatment
surgical treatment
Ophthalmology
RE1-994
spellingShingle orbital floor blowout fracture
scoring system
orthoptics
ocular motility
diplopia
conservative treatment
surgical treatment
Ophthalmology
RE1-994
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
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.
format article
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
title 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_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_sort role of orthoptics and scoring system for orbital floor blowout fracture: surgical or conservative treatment
publisher Press of International Journal of Ophthalmology (IJO PRESS)
publishDate 2021
url https://doaj.org/article/14ae34897ad94e7ba9f1d0123a4fd79f
work_keys_str_mv AT jurajtimkovic roleoforthopticsandscoringsystemfororbitalfloorblowoutfracturesurgicalorconservativetreatment
AT jiristransky roleoforthopticsandscoringsystemfororbitalfloorblowoutfracturesurgicalorconservativetreatment
AT katerinajanurova roleoforthopticsandscoringsystemfororbitalfloorblowoutfracturesurgicalorconservativetreatment
AT petrhandlos roleoforthopticsandscoringsystemfororbitalfloorblowoutfracturesurgicalorconservativetreatment
AT janstembirek roleoforthopticsandscoringsystemfororbitalfloorblowoutfracturesurgicalorconservativetreatment
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