Orthoptic Sequelae Following Conservative Management of Pure Blowout Orbital Fractures: Anecdotal or Clinically Relevant?

Article Article scientifique Article Orthoptic Sequelae Following Conservative Management of Pure Blowout Orbital Fractures: Anecdotal or Clinically Relevant? eng 2015 author Steinegger Ken 792678 author De Haller Raoul Michel 518005 author Courvoisier Delphine 0000-0002-1956-2607 94475 author Scolozzi Paolo 506389 e433-437 10.1097/SCS.0000000000001886 26102539 1049-2275 The aim of this study was to prospectively assess the prevalence of orthoptic anomalies following conservative management of pure blowout orbital fractures and to evaluate their clinical relevance. Clinical and radiologic data of patients with unilateral conservatively managed pure blowout orbital fractures with a minimum follow-up of 6 months were reviewed. Eligible patients were contacted and invited to undergo an extended ophthalmologic examination as follows: distance and near visual acuities, Hertel exophthalmometry, corneal light reflex (Hirschberg test), ductions and versions in the 6 cardinal fields of gaze, eye deviation with prisms and alternate cover test in all of the 9-gaze directions with Maddox rod, degrees of incyclo/excyclotorsion with right and left eye fixation, horizontal and vertical deviation with Hess-Weiss coordimetry, degree of horizontal/vertical and incyclo/excyclotorsion deviation with Harms wall deviometry, and vertical deviation with Bielschowsky head-tilt test. Of the 69 patients contacted, 49 declined to participate given that they were asymptomatic. Twenty patients agreed to undergo the examination. One patient complained of minimal double vision limited to the extreme downgaze. Four patients had asymptomatic ocular motility disturbances limited to the extreme gaze. Seven patients had asymptomatic horizontal heterophoria. These disturbances did not interfere with daily or professional activities in any of the patients. The current study demonstrated that conservative management of pure orbital blowout fractures can result in orthoptic anomalies. These sequelae were restricted to a very limited portion of the binocular field of the vision and were not found to be clinically relevant. Dewey 617 57 Département de chirurgie 222 false 555 Groupe Scolozzi Paolo (chirurgie maxillo-faciale et buccale) 896 The Journal of craniofacial surgery 26 5 b18eda18-c94f-44ac-a813-f74bb96e6f74 Article (Published version) Restricted 00001665-201507000-00100.pdf 3650863 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Orthoptic Sequelae Following Conservative Management of Pure Blowout Orbital Fractures: Anecdotal or Clinically Relevant?	The Journal of craniofacial surgery			2015	562	1

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Steinegger, Ken