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Correlation of Preoperative Computed Tomography and Postoperative Ocular Motility in Orbital Blowout Fractures
Arch Facial Plast Surg. 2002;4:61-62.
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Harris GJ, Garcia GH, Logani SC, Murphy ML
Ophthal Plast Reconstr Surg. 2000;16:179-187
Purpose: To determine a relationship between preoperative soft tissue disruption
and postoperative ocular motility in orbital blowout fractures.
Methods: This retrospective cohort study reviewed 30 patients who met all criteria:
retrievable coronal computed tomography (CT) scans; internal fractures of
the orbital floor, with or without medial wall extension; preoperative diplopia;
repair by a single surgeon; complete release of entrapped tissues; and postoperative
binocular visual fields (BVFs). Motility outcomes were quantified by one group
of the authors, who measured the vertical fusion within BVFs. Other authors
analyzed CT scans, designating each fracture as either A or B, based on lesser
or greater soft tissue distortion relative to the configuration of bone fragments.
The interval between trauma and surgery was also determined.
Results: Among the 15 patients with a postoperative motility outcome poorer than
the median (86 degrees or . . . [Full Text of this Article] COMMENTARY
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